Individual
AMANDA YASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 S KANNER HWY, STUART, FL 34994-4801
(772) 419-4834
Mailing address
3801 S KANNER HWY, STUART, FL 34994-4801
(917) 459-8628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014679
NY
363A00000X
Physician Assistant
Primary
9116250
FL
Other
Enumeration date
03/17/2011
Last updated
09/06/2023
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