Provider Demographics
NPI:1457563751
Name:ZUK, JAMES S (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:ZUK
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 1:3512 DEL PRADO BLVD S
Mailing Address - Street 2:#112
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7258
Mailing Address - Country:US
Mailing Address - Phone:239-540-7100
Mailing Address - Fax:
Practice Address - Street 1:3512 DEL PRADO BLVD S
Practice Address - Street 2:#112
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7258
Practice Address - Country:US
Practice Address - Phone:239-540-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6706111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55223Medicare UPIN
FL55223Medicare ID - Type Unspecified