Provider Demographics
NPI:1811189582
Name:ZABAWA, STEPHEN R (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:ZABAWA
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 1:2831 RINGLING BLVD
Mailing Address - Street 2:BUILDING A SUITE 102
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5334
Mailing Address - Country:US
Mailing Address - Phone:941-955-4755
Mailing Address - Fax:941-955-9986
Practice Address - Street 1:2831 RINGLING BLVD
Practice Address - Street 2:BUILDING A SUITE 102
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5334
Practice Address - Country:US
Practice Address - Phone:941-955-4755
Practice Address - Fax:941-955-9986
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor