Individual
AMANDA COLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
209 HARRISON ST, TITUSVILLE, FL 32780-5027
(321) 380-3211
Mailing address
209 HARRISON ST, TITUSVILLE, FL 32780-5027
(321) 380-3211
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11003545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11003545
COMMERCIAL
FL
Enumeration date
08/22/2019
Last updated
01/25/2024
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