Individual
AMANDA CATHERINE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E PAR ST, ORLANDO, FL 32804-4003
(321) 842-2299
(321) 841-2158
Mailing address
303 E PAR ST, ORLANDO, FL 32804-4003
(321) 842-2299
(321) 843-4101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9115029
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/16/2019
Last updated
06/10/2024
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