Individual
AMY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
822 PERKINS ST, LEESBURG, FL 34748-4350
(352) 315-4111
(352) 315-4112
Mailing address
10900 SE 174TH PLACE RD, SUMMERFIELD, FL 34491-8984
(352) 245-7427
(352) 245-2387
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11042282
FL
Other
Enumeration date
09/25/2025
Last updated
10/07/2025
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