Individual
DR. AMANDA JOY PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL 32168
(386) 423-5259
(386) 423-0929
Mailing address
1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL 32168
(386) 423-5259
(386) 423-0929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9205
FL
Other
Enumeration date
11/06/2006
Last updated
12/15/2010
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