Individual
AMANDA BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1110 AIRPORT BLVD, STE B, PENSACOLA, FL 32504
(850) 438-1136
(850) 438-1148
Mailing address
1110 AIRPORT BLVD, STE B, PENSACOLA, FL 32504
(850) 438-1136
(850) 438-1148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106714
FL
363A00000X
Physician Assistant
PAT9106714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113478900
—
FL
Enumeration date
09/04/2012
Last updated
05/24/2024
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