Individual
AMANDA C LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11280 NW 26TH ST, PLANTATION, FL 33323-1807
(937) 533-7058
Mailing address
11280 NW 26TH ST, PLANTATION, FL 33323-1807
(937) 533-7058
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
RN9681863
FL
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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