Individual
AMIRA ELTANTAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2937
(352) 273-8737
(352) 273-9154
Mailing address
PO BOX 100225, GAINESVILLE, FL 32610-0225
(352) 273-8737
(352) 273-9154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA9119245
FL
Other
Enumeration date
10/23/2024
Last updated
12/10/2024
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