Provider Demographics
NPI:1851436679
Name:PLANTE, AMBER ANGELETA (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:ANGELETA
Last Name:PLANTE
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:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-0163
Mailing Address - Country:US
Mailing Address - Phone:352-861-0566
Mailing Address - Fax:352-402-0565
Practice Address - Street 1:2100 SE 17TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4196
Practice Address - Country:US
Practice Address - Phone:352-861-0566
Practice Address - Fax:352-402-0565
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAD062YMedicare PIN