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Organization
SCC GROUP HEALTH CLINIC INCORPORATED
Active
Organization
SCC GROUP HEALTH CLINIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN THOMAS ZAK D.C. (PRESIDENT)
(813) 634-8980
Entity
Organization
Contact information
Practice address
1601 RICKENBACKER DR, SUITE #2, SUN CITY CENTER, FL 33573-5332
(813) 634-8980
(813) 634-2593
Mailing address
1601 RICKENBACKER DR, SUITE #2, SUN CITY CENTER, FL 33573-5332
(813) 634-8980
(813) 634-2593
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009673
AETNA PROVIDER NUMBER
FL
05
—
050266900
—
FL
01
—
22072
BC/BS PROVIDER NUMBER
FL
01
—
350013655
RAILROAD MEDICARE NUMBER
FL
01
—
T54819
UPIN NUMBER
FL
Enumeration date
02/14/2006
Last updated
08/20/2008
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