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Individual

KARA REANNE AMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
40 S HEATHWOOD DR, MARCO ISLAND, FL 34145-5026
(239) 393-4079
Mailing address
4898 TAHITI LN, NAPLES, FL 34112-3705

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282N00000X
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010031500
FL
Enumeration date
12/28/2011
Last updated
12/28/2011
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