Individual
AMY LYNNE BEARISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 W SWANN AVE, TAMPA, FL 33606-2417
(813) 254-7079
(813) 443-8164
Mailing address
1919 W SWANN AVE, TAMPA, FL 33606-2417
(813) 254-7079
(813) 443-8164
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME155973
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
08/19/2022
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