Organization
AMOMA, PLLC
Active
Other names
AMOMA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHIEL BUAGAS-KINTANAR ARNP, PMHNP-BC (PROVIDER/OWNER)
(509) 228-8323
Entity
Organization
Contact information
Practice address
1314 S GRAND BLVD STE 2, SPOKANE, WA 99202-1174
(813) 955-2827
(866) 611-7552
Mailing address
3690 W GANDY BLVD, TAMPA, FL 33611-2608
(509) 228-8323
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AP60643395
WA
251J00000X
Nursing Care Agency
—
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
FL
261QM0850X
Adult Mental Health Clinic/Center
AP60643395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942560263
NPI
FL
Enumeration date
02/03/2017
Last updated
05/24/2023
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