Individual
AMANDA SEEGOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4542
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 226-4590
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9257950
FL
363LF0000X
Family Nurse Practitioner
9257950
FL
Other
Enumeration date
10/14/2016
Last updated
01/10/2020
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