Provider Demographics
NPI:1033652789
Name:HELM, AMBER L (LCPED)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:HELM
Suffix:
Gender:F
Credentials:LCPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 S OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-9539
Mailing Address - Country:US
Mailing Address - Phone:352-242-0599
Mailing Address - Fax:352-353-4717
Practice Address - Street 1:313 S OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-9539
Practice Address - Country:US
Practice Address - Phone:352-242-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPED 235224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist