Individual
MRS. AMANDA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
APRN9337772
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9337772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101481400
—
FL
01
—
KM240
MEDICARE
FL
01
—
VHC51
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/06/2018
Last updated
08/26/2024
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