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Individual

AMY KRISTEN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11375 CORTEZ BLVD, SPRING HILL, FL 34613-5409
(352) 597-6077
Mailing address
11375 CORTEZ BLVD, SPRING HILL, FL 34613-5409
(352) 597-6077

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME92655
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272264000
FL
Enumeration date
10/12/2005
Last updated
08/27/2013
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