Healthcare Provider Details

I. General information

NPI: 1538222195
Provider Name (Legal Business Name): JANET MARIE SIKORA AMENDOLA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4776 PARKSTONE DR
VIERA FL
32955-6578
US

IV. Provider business mailing address

4776 PARKSTONE DR
VIERA FL
32955-6578
US

V. Phone/Fax

Practice location:
  • Phone: 321-723-1415
  • Fax:
Mailing address:
  • Phone: 321-723-1415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number4051
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7937
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4051
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH7112
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number7937
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: