Individual
AMANDA MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
560 S LAKEWOOD DR, BRANDON, FL 33511-5015
(813) 978-9700
(813) 558-6001
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119393
FL
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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