Individual
MRS. AMANDA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4181
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
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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