Individual
AMBER MICHELLE MCGILLICUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2426 BEE RIDGE RD STE C, SARASOTA, FL 34239-6350
(941) 554-6506
Mailing address
2264 50TH STREET CIR E, PALMETTO, FL 34221-2104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13034
FL
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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