Individual
AMANDA L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N LAURA ST STE 2500, JACKSONVILLE, FL 32202-3220
(904) 478-8300
(904) 478-8301
Mailing address
PO BOX 65458, ORANGE PARK, FL 32065-0008
(850) 225-9494
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
236816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801724
—
FL
Enumeration date
11/05/2020
Last updated
11/05/2020
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