Most Relevant Information
Provider Data
| NPI Number: | 1003318635 |
| Provider Name: | AMY E ORTA DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CH8205 |
Most Important Dates
| Enumeration Date: | 02/28/2018 |
| Last Updated: | 02/28/2018 |
Provider Practice Location
4400 W SAMPLE RD STE 114
COCONUT CREEK
FL
330733457
Practice Location Phone/Fax
| Phone: | 9546557300 |
| Fax: |
Provider Mailing Location
4233 NW 67TH TER
CORAL SPRINGS
FL
330673029
Provider Mailing Phone/Fax
| Phone: | 9546557300 |
| Fax: |