Individual
DR. AMANDA MARIE BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-7290
(727) 767-8408
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-7290
(727) 767-8408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016015489
MO
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
ME140169
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2016015489
MO
208M00000X
Hospitalist Physician
2016015489
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
07/31/2013
Last updated
10/21/2021
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