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Individual

ALEXIS AMATRUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
1223 GATEWAY DR STE 1C, MELBOURNE, FL 32901-2607
(321) 361-5616
(321) 409-1792
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5616

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11020387
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH456
MEDICARE HF
FL
Enumeration date
06/22/2022
Last updated
07/22/2022
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