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Individual

AMY MARIE ALLSPAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
13330 USF LAUREL DR, TAMPA, FL 33612
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11000840
FL
364SA2200X
Adult Health Clinical Nurse Specialist
11000840
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103520500
FL
01
SX1WV
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/21/2006
Last updated
10/07/2019
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