Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH8205 | FL |
NPI | 1003318635 |
---|---|
Provider Name | Dr. Amy E Orta |
First Address | Coral Springs, FL 33067-3029 |
Second Address | Coconut Creek, FL 33073-3457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2018 |
Last Update Date | 28/02/2018 |