Individual
AMANDA TAYLOR LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3555
(941) 917-2041
Mailing address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3555
(941) 917-2041
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS21032
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
07/30/2024
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