Individual
MRS. AMANDA BETH PANACCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM, BM
Contact information
Practice address
3016 ATAZAR WAY, MELBOURNE, FL 32940-7793
(321) 754-4530
Mailing address
3016 ATAZAR WAY, MELBOURNE, FL 32940-7793
(321) 754-4530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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