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NPI Code Detail

MEDICARE: DR. AMANDA MITCHELL D.C.

MEDICARE: DR. AMANDA MITCHELL 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
1111N00000XChiropractorCH10111FL

General Provider Information

NPI Number : 1073801064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA MITCHELL D.C.
Provider Business Mailing Address
First Line : 8792 STATE ROAD 70 E STE 101
Second Line :
City : BRADENTON
State : FL
Zip : 34202-3706
Country : US
Telephone Number : 941-756-4362
Fax Number :
Provider Business Practice Location Address
First Line : 8792 STATE ROAD 70 E STE 101
Second Line :
City : BRADENTON
State : FL
Zip : 34202-3706
Country : US
Telephone Number : 941-756-4362
Fax Number : 941-755-4652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 11/30/2020

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Directions to “ DR. AMANDA MITCHELL D.C.” Practice Location

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