Individual
AMANDA L SOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13455 NW 12TH ST, PEMBROKE PINES, FL 33028-2708
(601) 540-5811
(804) 285-0726
Mailing address
13455 NW 12TH ST, PEMBROKE PINES, FL 33028-2708
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101255922
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
05/16/2011
Last updated
10/18/2016
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