Individual
MRS. AMBER LARUE QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
(321) 727-7664
Mailing address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
(321) 727-7664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA9105647
FL
Other
Enumeration date
09/16/2010
Last updated
01/21/2025
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