Individual
AMY E DOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13701 BRUCE B DOWNS BLVD, SUITE 115, TAMPA, FL 33613
(813) 977-4767
(813) 977-6275
Mailing address
13701 BRUCE B DOWNS BLVD, SUITE 115, TAMPA, FL 33613
(813) 977-4767
(813) 977-6275
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 9101020
FL
Other
Enumeration date
10/05/2006
Last updated
07/09/2007
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