Shane, Amber M

Shane, Amber M is an individual health care provider with primary practice located at 250 N Alafaya Trl Ste 115, Orlando FL 32828-4315. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Shane, Amber M can be contacted via phone (407) 447-1020.

Contact Information

Primary practice address
250 N Alafaya Trl Ste 115 Orlando FL 32828-4315
Phone: (407) 447-1020
Fax: (407) 447-1239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3200 Florida

Profile Details

NPI number 1013967249
LBN Legal business name Shane, Amber M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Sep 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013967249 NPPES
Florida Other P00431274 RAIL ROAD MEDICARE
Florida MEDICAID 340576100 RAIL ROAD MEDICARE

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