Individual
AMANDA ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRA/RPA, RT(R)(CT)
Contact information
Practice address
1250 S 18TH ST, FERNANDINA BEACH, FL 32034-1902
(904) 321-3500
Mailing address
75297 SEMPER FI DR, YULEE, FL 32097-1704
(904) 657-7799
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
CRT85880
FL
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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