Organization
AMBERLY PARADOA DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBERLY C PARADOA DPM (PRESIDENT)
(772) 299-7009
Entity
Organization
Contact information
Practice address
1627 US HIGHWAY 1, SUITE 208, SEBASTIAN, FL 32958-3899
(772) 589-9970
(772) 589-9939
Mailing address
3735 11TH CIR, SUITE 201, VERO BEACH, FL 32960-4844
(772) 299-7009
(772) 568-7138
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PO3105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340483800
—
FL
01
—
65862
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/11/2011
Last updated
02/11/2011
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