Provider Demographics
NPI:1235266578
Name:AMARAL, MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:AMARAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7394
Mailing Address - Country:US
Mailing Address - Phone:954-721-5543
Mailing Address - Fax:954-510-3074
Practice Address - Street 1:210 N UNIVERSITY DR
Practice Address - Street 2:SUITE 209
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7394
Practice Address - Country:US
Practice Address - Phone:954-721-5543
Practice Address - Fax:954-510-3074
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381752100Medicaid
FLU76654Medicare UPIN
FL381752100Medicaid