Individual
AMY MARIA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
16105 N FLORIDA AVE, LUTZ, FL 33549-6161
(813) 644-4572
Mailing address
16105 N FLORIDA AVE, LUTZ, FL 33549-6161
(813) 644-4572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN9224909
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9224909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083566-00
—
FL
Enumeration date
02/07/2013
Last updated
01/12/2023
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