Individual
AMBER NICOLE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1103, JACKSONVILLE, FL 32207-8334
(904) 398-9499
(904) 398-0118
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9104174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9104174
STATE LICENSE
FL
Enumeration date
06/28/2007
Last updated
12/18/2012
About Stedi
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