Individual
AMANDA LEE GORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
515 S KINGS AVE, BRANDON, FL 33511-6060
(813) 681-9171
(813) 681-7580
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN11017477
FL
Other
Enumeration date
01/31/2022
Last updated
01/20/2026
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