Organization
AMPLIFIED NEURODIAGNOSTICS, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN S SANDERSON D.C. (PRESIDENT)
(717) 580-4189
Entity
Organization
Contact information
Practice address
2260 N 29TH AVE, UNIT 302, HOLLYWOOD, FL 33020-1710
(717) 580-4189
Mailing address
2260 N 29TH AVE, UNIT 302, HOLLYWOOD, FL 33020-1710
(717) 580-4189
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
CH11618
FL
Other
Enumeration date
08/11/2016
Last updated
03/09/2017
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