Provider Demographics
NPI:1609981307
Name:AMAR, KAREN DENISE (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:DENISE
Last Name:AMAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8415 CORAL WAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2305
Mailing Address - Country:US
Mailing Address - Phone:305-260-0460
Mailing Address - Fax:305-269-7933
Practice Address - Street 1:8415 CORAL WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2305
Practice Address - Country:US
Practice Address - Phone:305-260-0460
Practice Address - Fax:305-269-7933
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH0006569OtherSTATE LICENCE NUMBER
FLCH0006569OtherSTATE LICENCE NUMBER
FL55141Medicare ID - Type Unspecified