Individual
AMANDA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1600 W EAU GALLIE BLVD, SUITE 104, MELBOURNE, FL 32935-4149
(321) 622-4447
Mailing address
1600 W EAU GALLIE BLVD., SUITE 104, MELBOURNE, FL 32935
(321) 622-4447
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11607
FL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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