Individual
AMBER M SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
265 E ROLLINS ST STE 11100, ORLANDO, FL 32804-5570
(844) 407-4070
Mailing address
265 E ROLLINS ST STE 11100, ORLANDO, FL 32804-5570
(844) 407-4070
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340576100
—
FL
01
—
P00431274
RAIL ROAD MEDICARE
FL
Enumeration date
05/10/2006
Last updated
03/22/2026
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