Provider Demographics
NPI:1386720498
Name:ZAMZOW, JOSEPH ALLEN (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALLEN
Last Name:ZAMZOW
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 1:6030 S FLORIDA AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-3351
Mailing Address - Country:US
Mailing Address - Phone:863-646-3388
Mailing Address - Fax:863-646-3380
Practice Address - Street 1:6030 S FLORIDA AVE STE 115
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813
Practice Address - Country:US
Practice Address - Phone:863-646-3388
Practice Address - Fax:863-646-3380
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8827111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor