MEDICARE: DR. AMANDA JEANNE FREY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH9648	FL

General Provider Information

NPI Number	:	1841439049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA JEANNE FREY D.C.

Provider Business Mailing Address
First Line	:	6388 SILVER STAR RD
Second Line	:	SUITE 2A
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:	407-253-1114
Fax Number	:	407-253-1180

Provider Business Practice Location Address
First Line	:	6388 SILVER STAR RD
Second Line	:	SUITE 2A
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:	407-253-1114
Fax Number	:	407-253-1180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	12/07/2025

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