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Individual
AMANDA AXEL
Active
Individual
AMANDA AXEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101427000
—
FL
05
—
121502600
—
FL
Enumeration date
11/12/2018
Last updated
05/14/2025
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