# AMANDA CAMP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COMPLETE INTEGRATIVE MEDICAL CLINIC, LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760170393
- **Authorized official:** AMANDA CAMP DNPNPC (OWENER)
- **Authorized official phone:** (813) 374-5584

## Contact information

- **Practice address:** 2835 W DE LEON ST STE 201, TAMPA, FL 33609-4130
- **Practice address phone:** (727) 428-6344
- **Practice address fax:** (813) 350-0703
- **Mailing address:** 2835 W DE LEON ST STE 201, TAMPA, FL 33609-4130
- **Mailing address phone:** (727) 428-6344
- **Mailing address fax:** (813) 350-0703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 08/07/2023