Provider Demographics
NPI:1003839523
Name:D'AMORA, ROBERT L (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:D'AMORA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8914
Mailing Address - Country:US
Mailing Address - Phone:954-755-2644
Mailing Address - Fax:954-755-9355
Practice Address - Street 1:1500 N UNIVERSITY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8914
Practice Address - Country:US
Practice Address - Phone:954-755-2644
Practice Address - Fax:954-755-9355
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380698700Medicaid
FL380698700Medicaid
FL22627Medicare ID - Type Unspecified