Provider Demographics
NPI:1700943016
Name:ZVI, ELLIOTT DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:DAVID
Last Name:ZVI
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 1:4625 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6501
Mailing Address - Country:US
Mailing Address - Phone:954-962-9116
Mailing Address - Fax:954-962-9117
Practice Address - Street 1:4625 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6501
Practice Address - Country:US
Practice Address - Phone:954-962-9116
Practice Address - Fax:954-962-9117
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor