Individual
AMANDA ULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 N ORANGE AVE STE 340, ORLANDO, FL 32804-4601
(407) 895-8890
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08035
MD
363A00000X
Physician Assistant
PA 9108880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08035
MD LICENSE
MD
Enumeration date
09/17/2015
Last updated
04/27/2022
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