Provider Demographics
NPI:1245650191
Name:BRADLEY-AMORE, ALLISON MARIE (DO)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:BRADLEY-AMORE
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:AMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:531 N MAITLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4421
Mailing Address - Country:US
Mailing Address - Phone:321-397-1212
Mailing Address - Fax:407-550-7719
Practice Address - Street 1:531 N MAITLAND AVE
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4421
Practice Address - Country:US
Practice Address - Phone:321-397-1212
Practice Address - Fax:407-550-7719
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13746207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology