Healthcare Provider Details

I. General information

NPI: 1841439049
Provider Name (Legal Business Name): AMANDA JEANNE FREY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. AMANDA JEANNE DE PRADA

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6388 SILVER STAR RD SUITE 2A
ORLANDO FL
32818-3235
US

IV. Provider business mailing address

6388 SILVER STAR RD SUITE 2A
ORLANDO FL
32818-3235
US

V. Phone/Fax

Practice location:
  • Phone: 407-253-1114
  • Fax: 407-253-1180
Mailing address:
  • Phone: 407-253-1114
  • Fax: 407-253-1180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9648
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: