Individual
MRS. AMANDA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-7762
Mailing address
4626 N NEW ST, MILTON, FL 32583-4143
(361) 946-1440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11019628
FL
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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