Provider Demographics
NPI:1275375750
Name:ZAMORA, JOSE LUIS JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LUIS
Last Name:ZAMORA
Suffix:JR
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 1:3644 WINDWARD HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-5876
Mailing Address - Country:US
Mailing Address - Phone:619-538-8592
Mailing Address - Fax:
Practice Address - Street 1:840 N STATE ROAD 434 STE 1000
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7037
Practice Address - Country:US
Practice Address - Phone:407-801-0820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor