Provider Demographics
NPI:1720410145
Name:JJZ CHIRO LLC
Entity type:Organization
Organization Name:JJZ CHIRO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZARETSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-817-1675
Mailing Address - Street 1:4360 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6274
Mailing Address - Country:US
Mailing Address - Phone:954-817-1675
Mailing Address - Fax:
Practice Address - Street 1:4360 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6274
Practice Address - Country:US
Practice Address - Phone:954-817-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty