Individual
DR. MAXIMILLAN ZDRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
136 N ORCHARD ST, SUITE 3, ORMOND BEACH, FL 32174-9534
(386) 310-8096
(386) 066-0292
Mailing address
136 N ORCHARD ST, SUITE 3, ORMOND BEACH, FL 32174-9534
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CH11916
FL
111NP0017X
Pediatric Chiropractor
CH11916
FL
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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