MEDICARE: AMY BELL DC INC

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	CH 10576	FL

General Provider Information

NPI Number	:	1770972903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY BELL DC INC

Provider Business Mailing Address
First Line	:	8715 SURF DR UNIT 1702
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32408-8714
Country	:	US
Telephone Number	:	419-733-2759
Fax Number	:

Provider Business Practice Location Address
First Line	:	8406 PANAMA CITY BEACH PKWY STE D
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-4866
Country	:	US
Telephone Number	:	850-249-9355
Fax Number	:	850-249-8406

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMY L BELL
Credential	:	DC
Telephone Number	:	419-733-2759

Provider Enumeration Date	:	01/12/2015
Last Update Date	:	01/12/2015

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