Individual
MRS. AMANDA MICHELLE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6922 SINGLETARY ST, GRAND RIDGE, FL 32442-8901
(850) 510-1147
Mailing address
6922 SINGLETARY ST, GRAND RIDGE, FL 32442-8901
(850) 510-1147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116653
FL
Other
Enumeration date
07/27/2021
Last updated
02/27/2024
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