Individual
AMANDA LEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2160 DUNN AVE, JACKSONVILLE, FL 32218-4718
(904) 743-2222
(904) 743-3087
Mailing address
6947 MERRILL RD, JACKSONVILLE, FL 32277-2684
(904) 743-2222
(904) 743-3087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11475
FL
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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