Individual
AMANDA L MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4123 UNIVERSITY BLVD S, STE B, JACKSONVILLE, FL 32216
(904) 636-9100
(904) 636-9102
Mailing address
4123 UNIVERSITY BLVD S, STE B, JACKSONVILLE, FL 32216
(904) 636-9100
(904) 636-9102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5758
AZ
Other
Enumeration date
11/08/2012
Last updated
08/20/2021
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