Provider Demographics
NPI:1538904099
Name:ZAMORA CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ZAMORA CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:619-538-8592
Mailing Address - Street 1:840 N STATE ROAD 434 STE 1000
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7037
Mailing Address - Country:US
Mailing Address - Phone:619-538-8592
Mailing Address - Fax:
Practice Address - Street 1:840 N STATE ROAD 434 STE 1000
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7037
Practice Address - Country:US
Practice Address - Phone:619-538-8592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty