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Individual

AMANDA LEWIS CONNORS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2290 10TH AVE N STE 101, LAKE WORTH, FL 33461-6609
(800) 991-6117
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004281
CT
363A00000X
Physician Assistant
Primary
PA9120122
FL
363AM0700X
Medical Physician Assistant
004281
CT
363AS0400X
Surgical Physician Assistant
004281
CT

Other

Enumeration date
09/27/2018
Last updated
10/22/2025
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