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Individual

DR. AMY JOY SELWACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO, MBA

Contact information

Practice address
870 N COCOA BLVD STE A, COCOA, FL 32922-7588
(321) 866-8847
(954) 351-8349
Mailing address
870 N COCOA BLVD STE A, COCOA, FL 32922-7008
(321) 866-8847
(954) 351-8349

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
OS14936
FL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS14936
FL
207Q00000X
Family Medicine Physician
OS14936
FL

Other

Enumeration date
02/12/2016
Last updated
01/31/2021
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