Individual
MRS. AMBER PLOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 322-3442
Mailing address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686675
686675
FL
Enumeration date
05/18/2015
Last updated
05/18/2015
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