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Organization

AMANDA MONTANEZ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA GISELLE MONTANEZ ALVARADO RD (OWNER)
(916) 740-5485
Entity
Organization

Contact information

Practice address
12716 NW 19TH MNR, CORAL SPRINGS, FL 33071-7759
(916) 740-5485
Mailing address
12716 NW 19TH MNR, CORAL SPRINGS, FL 33071-7759
(916) 740-5485

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093583858
PERSONAL NPI NUMBER
Enumeration date
12/15/2023
Last updated
01/30/2024
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