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Individual

AMANDA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1800 MERCY DR, ORLANDO, FL 32808-5646
(407) 875-3700
Mailing address
1800 MERCY DR, ORLANDO, FL 32808-5646
(407) 875-3700

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
11494
FL
363A00000X
Physician Assistant
Primary
9106840
FL

Other

Enumeration date
03/17/2013
Last updated
03/31/2015
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