Individual
AMY LUCAS NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6420 W NEWBERRY RD, EAST WING, SUITE 100, GAINESVILLE, FL 32605-4308
(352) 332-3900
(352) 332-5009
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME131863
FL
207RX0202X
Medical Oncology Physician
Primary
ME131863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021707200
—
FL
Enumeration date
01/14/2008
Last updated
08/11/2022
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