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Individual
JUAN A AMADO
Active
Individual
JUAN A AMADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3107812
FL
363L00000X
Nurse Practitioner
95023558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002171800
—
FL
01
—
0362956-22
FAMILY PRACTICE CERTIFICATION
—
01
—
12113037
CAQH
—
01
—
3107812
FLORIDA NURSE PRACTITIONER LICENSE
FL
01
—
SP009157
PENNSYLVANIA NURSE PRACTITIONER LICENSE
PA
01
—
U2564X
MEDICARE PTAN
FL
Enumeration date
11/29/2006
Last updated
08/17/2026
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