Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 7937 | NY |
N | 111N00000X | Chiropractor | CH7112 | FL |
Y | 111NN0400X | Neurology | CH7112 | FL |
NPI | 1538222195 |
---|---|
Provider Name | Dr. Janet Marie Sikora Amendola |
First Address | Indian Harbour Beach, FL 32937-4101 |
Second Address | Indian Harbour Beach, FL 32937-4101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 15/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
380996000 | (05) | FL |
U63244 | (02) | FL |