Provider Demographics
NPI:1295766814
Name:BERNSTEIN, AMY EVE (DC)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:EVE
Last Name:BERNSTEIN
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 1:11740-2 SAN JOSE BLVD.
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-8280
Mailing Address - Country:US
Mailing Address - Phone:954-547-8120
Mailing Address - Fax:904-880-1580
Practice Address - Street 1:11740-2 SAN JOSE BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-1629
Practice Address - Country:US
Practice Address - Phone:954-547-8120
Practice Address - Fax:904-880-1580
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor