Individual
DR. AMANDA NICOLE COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 W SEMINOLE BLVD, SANFORD, FL 32771-6743
(689) 313-9582
Mailing address
1401 W SEMINOLE BLVD, SANFORD, FL 32771-6743
(689) 313-9582
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/25/2024
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