Provider Demographics
NPI:1992919179
Name:ZERDEN, BARRY (DC)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:ZERDEN
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 1:7135 NW 102ND AVE
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2262
Mailing Address - Country:US
Mailing Address - Phone:954-720-1956
Mailing Address - Fax:954-720-1956
Practice Address - Street 1:7135 NW 102ND AVE
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2262
Practice Address - Country:US
Practice Address - Phone:954-720-1956
Practice Address - Fax:954-720-1956
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7091111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor