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Individual

MS. AMANDA REAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9400 UNIVERSITY PKWY STE 101, PENSACOLA, FL 32514
(850) 208-6130
Mailing address
PO BOX 17568, PENSACOLA, FL 32522-7568

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111088
FL
363AS0400X
Surgical Physician Assistant
017650
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024799900
FL
Enumeration date
07/10/2014
Last updated
07/30/2018
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