Individual
MS. AMY MICHELLE DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 33896-9112
(321) 677-0531
(407) 396-0158
Mailing address
7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 33896-9112
(321) 677-0531
(407) 396-0158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103948
AK
163W00000X
Registered Nurse
596983
TX
363LF0000X
Family Nurse Practitioner
Primary
11042929
FL
363LF0000X
Family Nurse Practitioner
Primary
181434
AK
Other
Enumeration date
03/21/2019
Last updated
04/23/2026
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