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Individual

MS. AMY LUEBKE HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
655 W 8TH ST, UFJP OB/GYN, JACKSONVILLE, FL 32209-6511
(904) 244-4472
(904) 244-8411
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP2622302
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000903735B
GA
05
000903735C
GA
05
3401871-00
FL
Enumeration date
02/28/2006
Last updated
04/25/2012
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