Provider Demographics
NPI:1740486919
Name:ZABRISKIE, JORDAN SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:SCOTT
Last Name:ZABRISKIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3893 MILITARY TRL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2936
Mailing Address - Country:US
Mailing Address - Phone:561-320-9302
Mailing Address - Fax:561-320-9305
Practice Address - Street 1:3893 MILITARY TRL
Practice Address - Street 2:SUITE 2
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2936
Practice Address - Country:US
Practice Address - Phone:561-320-9302
Practice Address - Fax:561-320-9305
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9386111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIE398ZMedicare PIN