Individual
AMANDA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1195 VILLAGIO CIR UNIT 101, SARASOTA, FL 34237-3652
(708) 262-4038
Mailing address
1195 VILLAGIO CIR UNIT 101, SARASOTA, FL 34237-3652
(708) 262-4038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112798
FL
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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