Individual
AMANDA ASMITA WILSON MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 6TH FLOOR, TAMPA, FL 33606
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME123283
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME123283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015377700
—
FL
01
—
150ZX
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/28/2011
Last updated
03/30/2021
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