Individual
AMANDA RODRIGUEZ-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6640 103RD ST, JACKSONVILLE, FL 32210
(904) 317-6628
Mailing address
4633 GREENBROOK CT, JACKSONVILLE, FL 32257-2452
(787) 645-7810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12501
FL
Other
Enumeration date
05/29/2018
Last updated
07/17/2020
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