Individual
AMANDA E. PAVLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 DR MLK JR BLVD W, TAMPA, FL 33607-6307
(913) 870-4000
Mailing address
1300 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33323-2826
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN9265845
FL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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