Individual
AMANDA MELANIE METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 W NORTH BLVD, LEESBURG, FL 34748-5044
(352) 728-4242
Mailing address
6448 TABOGI TRL, WESLEY CHAPEL, FL 33545-1360
(954) 818-6713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA9110954
FL
207R00000X
Internal Medicine Physician
PA9110954
FL
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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