Provider Demographics
NPI:1528300407
Name:ZOGRAFAKIS, STELIOS (DC)
Entity type:Individual
Prefix:
First Name:STELIOS
Middle Name:
Last Name:ZOGRAFAKIS
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 1:2154 DUCK SLOUGH BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5073
Mailing Address - Country:US
Mailing Address - Phone:727-372-3333
Mailing Address - Fax:727-372-3331
Practice Address - Street 1:2154 DUCK SLOUGH BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5073
Practice Address - Country:US
Practice Address - Phone:727-372-3333
Practice Address - Fax:727-372-3331
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor