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Individual

AMANDA NEWSOME PRINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7540 W UNIVERSITY AVE, GAINESVILLE, FL 32607-7609
(352) 647-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106640
FL
363AM0700X
Medical Physician Assistant
PA9106640
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009986800
FL
Enumeration date
07/23/2012
Last updated
11/20/2024
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