Provider Demographics
NPI:1053796797
Name:ZEPHIRIN, JUDITH (DC)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:ZEPHIRIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3185 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3277
Mailing Address - Country:US
Mailing Address - Phone:561-571-7888
Mailing Address - Fax:561-571-7885
Practice Address - Street 1:3185 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483
Practice Address - Country:US
Practice Address - Phone:561-571-7888
Practice Address - Fax:561-571-7885
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor