Individual
AMANDA MILLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 US HIGHWAY 98 S, LAKELAND, FL 33812-4384
(863) 284-6800
Mailing address
605 LAURA RD, LAKELAND, FL 33815-3220
(863) 581-1457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN11008582
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11008582
FL
Other
Enumeration date
10/14/2020
Last updated
03/31/2026
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