Provider Demographics
NPI:1013306737
Name:ZENERGY CHIROPRACTIC
Entity Type:Organization
Organization Name:ZENERGY CHIROPRACTIC
Other - Org Name:DR. J'S GOLF FITNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOHNS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-615-8556
Mailing Address - Street 1:3221 SABAL PALM MNR
Mailing Address - Street 2:APT 208
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2285
Mailing Address - Country:US
Mailing Address - Phone:717-615-8556
Mailing Address - Fax:
Practice Address - Street 1:3305 RICE ST
Practice Address - Street 2:
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-5216
Practice Address - Country:US
Practice Address - Phone:305-792-8393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty