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Individual

AMY HODGE FENENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5310 CLARK RD STE 201, SARASOTA, FL 34233-3229
(941) 925-3627
(866) 405-4932
Mailing address
4919 MEMORIAL HWY STE 150, TAMPA, FL 33634-7516
(813) 333-1512
(813) 333-1561

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107857
FL

Other

Enumeration date
03/02/2006
Last updated
11/02/2022
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