Provider Demographics
NPI:1245328442
Name:ZURKAN, CLIFFORD B (DC)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:B
Last Name:ZURKAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10785 ULMERTON RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-1701
Mailing Address - Country:US
Mailing Address - Phone:727-518-1999
Mailing Address - Fax:727-581-8058
Practice Address - Street 1:10785 ULMERTON RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-1701
Practice Address - Country:US
Practice Address - Phone:727-518-1999
Practice Address - Fax:727-581-8058
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55744OtherBLUECROSS BLUE SHIELD
FLU69497Medicare UPIN
FL55744OtherBLUECROSS BLUE SHIELD