Individual
AMITA KAUR GLAMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8427
(386) 668-2221
Mailing address
5400 HUTCHINSON ST, PORT ORANGE, FL 32128-0004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11003593
FL
363L00000X
Nurse Practitioner
11003593
FL
Other
Enumeration date
12/10/2019
Last updated
04/06/2020
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