Healthcare Provider Details

I. General information

NPI: 1730007022
Provider Name (Legal Business Name): ANDREA RODRIGUEZ AMADOR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2684 PEONY DR
OVIEDO FL
32766-0002
US

IV. Provider business mailing address

2684 PEONY DR
OVIEDO FL
32766-0002
US

V. Phone/Fax

Practice location:
  • Phone: 407-946-0608
  • Fax:
Mailing address:
  • Phone: 407-946-0608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15898
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: