Individual
AMANDA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 RED JOHN DR, DAYTONA BEACH, FL 32124-1016
(386) 236-3183
Mailing address
1150 RED JOHN DR, DAYTONA BEACH, FL 32124-1016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NA
FL
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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