Individual
AMANDA GASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
733 N 3RD ST, LEESBURG, FL 34748-4441
(352) 901-6582
(352) 657-1844
Mailing address
733 N 3RD ST, LEESBURG, FL 34748-4441
(352) 901-6582
(352) 657-1844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9248510
FL
202D00000X
Integrative Medicine Physician
APRN9248510
FL
363L00000X
Nurse Practitioner
Primary
ARNP 9248510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016884700
—
FL
Enumeration date
02/10/2016
Last updated
08/02/2023
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