Individual
AMANDA G WOLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 416-1575
(850) 416-1302
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9110571
FL
Other
Enumeration date
08/23/2017
Last updated
09/16/2019
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