Provider Demographics
NPI:1295385797
Name:WILLIAMS, AMBER (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:WILLIAMS
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 1:9867 E FERN ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5413
Mailing Address - Country:US
Mailing Address - Phone:786-261-7761
Mailing Address - Fax:
Practice Address - Street 1:9867 E FERN ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-5413
Practice Address - Country:US
Practice Address - Phone:305-964-7314
Practice Address - Fax:305-964-7716
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor