MR. ZACKERY T WYNN (NPI# 1366940116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366940116 |
| Entity Type | Individual |
| Full Name | MR. ZACKERY T WYNN |
| Credential | D.C |
| Practice Address |
3155 Aerial Way Brooksville FL 34604 |
| Mailing Address |
9206 State Road 52 Hudson FL 34669-3029 |
| Practice Telephone | 7278628571 |
| Mailing Telephone | 7278628571 |
| Mailing Fax Number | 7278628573 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12395 | FL | Chiropractic Providers |
| Street Address |
3155 AERIAL WAY |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841740545 | Debra Bence | Registered Nurse | 4259 Caskie Place, Brooksville, FLORIDA 34604 | 2016-10-06 |
| 1760671150 | Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14675 Copeland Way, Spring Hill, FL 34604-0000 | 2007-10-22 |
| 1750516878 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 3101 Aerial Way, Brooksville, FL 34604-0629 | 2009-05-19 |
| 1235424995 | John Michael Sivon Jr. | Pharmacist | 3101 Aerial Way, T-2489, Spring Hill, FL 34604-0629 | 2011-06-10 |
| 1801425251 | Global Jetcare, Inc. | Ambulance | 15421 Technology Dr, Brooksville, FL 34604-0634 | 2020-04-07 |
| 1558362798 | Jason O Baldwin | Pharmacist | 4002 Clear Spring Rd, Brooksville, FL 34604-0655 | 2005-08-10 |
| 1518950724 | Scott M Gebhardt | Internal Medicine | 2264 Dog Leg Ct, Brooksville, FL 34604-1000 | 2005-08-24 |
| 1770603045 | Melissa Ann Franz | Speech-Language Pathologist | 638 White Flower Way, Brooksville, FL 34604-1450 | 2007-03-30 |
| 1942606066 | Stephanie Safos-moriarty | Counselor | 15381 Durango Cir, Brooksville, FL 34604-5008 | 2014-11-17 |
| 1245780162 | Hernando Healthcare Associates, Pa | Clinic/Center | 15468 Durango Cir, Brooksville, FL 34604-5009 | 2016-10-04 |
| Find all providers in zip 34604 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247967 | Summer Nichole Vasseur | Chiropractor | 608 Decatur Ave, Brooksville, FL 34601-3236 | 2020-05-27 |
| 1801256383 | Tlc Family Medical & Wellness Center, Inc | Chiropractor | 13315 Cortez Blvd., Brooksville, FL 34613-4888 | 2016-02-26 |
| 1558458372 | David K Dahmer | Chiropractor | 13315 Cortez Blvd, Brooksville, FL 34613-4888 | 2006-10-05 |
| 1891755617 | Thomas Paul Bracken | Chiropractor | 955 Candlelight Blvd, Brooksville, FL 34601 | 2006-03-24 |
| 1538152533 | Donald J Hensley, Pa | Chiropractor | 291 E Jefferson St, Brooksville, FL 34601-2699 | 2005-08-24 |
| 1336132554 | Ann Lauren Marra | Chiropractor | 12082 Cortez Blvd, Brooksville, FL 34613-7371 | 2005-08-23 |
| 1497747869 | Charles Richard Price | Chiropractor | 934 Candlelight Blvd, Brooksville, FL 34601-3116 | 2005-08-22 |
| 1649262775 | Roy J Schleman | Chiropractor | 813 S Broad St, Brooksville, FL 34601-3106 | 2005-08-16 |
| 1467846774 | Christian Schneider | Chiropractor | 13315 Cortez Blvd, Brooksville, FL 34613-4888 | 2015-03-25 |
| 1447524913 | Family Chiropractic Health Centers Corp | Chiropractor | 13315 Cortez Blvd, Brooksville, FL 34613-4888 | 2012-03-01 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34604 |
Please comment or provide details below to improve the information on MR. ZACKERY T WYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.