Individual
AMANDA L BLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
109 W WALL ST, FROSTPROOF, FL 33843-2043
(863) 635-4891
(863) 635-7613
Mailing address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3012
(863) 452-3069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9280679
FL
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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