Individual
MS. AMANDA JO TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
1098 MONTGOMERY RD, ALTAMONTE SPRINGS, FL 32714-7420
(407) 869-6463
Mailing address
2155 JUDGE FRAN JAMIESON WAY APT 210, VIERA, FL 32940
(304) 641-0180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
70863
WV
363LF0000X
Family Nurse Practitioner
Primary
9423463
FL
Other
Enumeration date
11/02/2011
Last updated
09/06/2016
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