Provider Demographics
NPI:1093194458
Name:AMY C. MCCONNELL
Entity Type:Organization
Organization Name:AMY C. MCCONNELL
Other - Org Name:GENTLE CARE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-312-6200
Mailing Address - Street 1:2937 BEE RIDGE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-7119
Mailing Address - Country:US
Mailing Address - Phone:941-312-6200
Mailing Address - Fax:941-312-6800
Practice Address - Street 1:2937 BEE RIDGE RD STE 7
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-7119
Practice Address - Country:US
Practice Address - Phone:941-312-6200
Practice Address - Fax:941-312-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty