Old Bonecrusher, INC.
Chiropractor in Melbourne, FL. Organization (NPI-2).
NPI number1154501435
StatusActive
Last updated in NPPESNov 5, 2007
Details
- NPI
- 1154501435
- Entity type
- Organization (NPI-2)
- Legal business name
- Old Bonecrusher, INC.
- Organization subpart
- No
- Enumeration date
- Nov 5, 2007
- Last updated
- Nov 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH7112 | FL | Yes |
Other names
- Janet M. Sikora Amendola, D.C. (Other Name)
Practice location
621 Palmetto AveMelbourne, FL 32901-4723
Phone 321-723-1415
Mailing address
621 Palmetto AveMelbourne, FL 32901-4723
Phone 321-723-1415
Authorized official
Janet Marie Sikora Amendola
President
3217231415
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