DR. MAXIMILLAN ZDRADA (NPI# 1760936249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760936249 |
Entity Type | Individual |
Full Name | DR. MAXIMILLAN ZDRADA |
Credential | D.C. |
Practice Address |
136 N Orchard St Suite 3 Ormond Beach FL 32174-9534 |
Practice Telephone | 3863108096 |
Practice Fax Number | 3860660292 |
Enumeration Date | 2016-08-12 |
Last Update Date | 2016-08-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
CH11916 | FL | Chiropractic Providers |
Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
CH11916 | FL | Chiropractic Providers |
Street Address |
136 N ORCHARD ST SUITE 3 |
City | ORMOND BEACH |
State | FL |
Zip Code | 32174-9534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962892026 | James Valcarcel | Chiropractor | 136 N Orchard St, Suite 3, Ormond Beach, FL 32174-9534 | 2015-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
Find all providers in zip 32174 |
Taxonomy Code | 111NI0013X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Independent Medical Examiner |
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962017475 | In Due Season Wellness Group LLC | Chiropractor | 5034 7th St, Zephyrhills, FL 33542-2132 | 2020-09-11 |
1922644475 | Norman Brodsky | Chiropractor | 3400 Ocean Beach Blvd, Suite 515, Cocoa Beach, FL 32931-4177 | 2019-11-20 |
1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
1467997817 | Optimum Health Chiropractic Pllc | Chiropractor | 5004 E Fowler Ave Ste C, Tampa, FL 33617-2181 | 2016-12-21 |
1558724583 | Michael Weinreb | Chiropractor | 19707 Ne 36th Ct Apt 7hn, 7 H North Tower, Aventura, FL 33180-2566 | 2016-03-29 |
1245615343 | Injury Clinc & Rehab Center | Chiropractor | 1229 North Military Trail #6, West Palm Beach, FL 33409-6059 | 2015-07-30 |
1467831826 | Paradigm Health Solutions, LLC | Chiropractor | 5051 Strafford Oaks Dr, Sebring, FL 33875-4763 | 2015-05-19 |
1649678707 | Steven William Oliver | Chiropractor | 4490 N Us Highway 1, Suite 108, Bunnell, FL 32110-4374 | 2014-12-05 |
1174928204 | Alexander Matos | Chiropractor | 8850 Nw 17th St, Plantation, FL 33322-4427 | 2014-10-31 |
1558603357 | Burnham Chiropractic Enterprises LLC | Chiropractor | 112 Old Jennings Rd, Orange Park, FL 32065-7505 | 2013-03-20 |
Find all providers with the same taxonomy |
City | ORMOND BEACH |
Zip Code | 32174 |
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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.