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Individual

AMANDA R LIPSCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1305 S FORT HARRISON AVE, SUITE E, CLEARWATER, FL 33756-3301
(727) 631-0917
(727) 631-0916
Mailing address
1305 S FORT HARRISON AVE STE E, CLEARWATER, FL 33756-3301
(727) 631-0917
(727) 631-0916

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106548
FL

Other

Enumeration date
05/25/2012
Last updated
09/03/2025
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