Individual
AMANDA KAY WHITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6745 N CHURCH AVE, MULBERRY, FL 33860-2080
(863) 701-2573
(863) 701-2595
Mailing address
6745 N CHURCH AVE, MULBERRY, FL 33860-2080
(863) 701-2573
(863) 701-2595
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1988
FL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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