Provider Demographics
NPI:1013309491
Name:HORNE, AMANDA WILLIAMS (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:WILLIAMS
Last Name:HORNE
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 1:9200 NAVARRE PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2977
Mailing Address - Country:US
Mailing Address - Phone:850-939-2200
Mailing Address - Fax:850-939-9901
Practice Address - Street 1:9200 NAVARRE PKWY STE E
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-2977
Practice Address - Country:US
Practice Address - Phone:850-939-2200
Practice Address - Fax:850-939-9901
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor