Individual
AMANDA GLYNNE BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4106
(727) 767-8804
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4106
(727) 767-8804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101274586
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
08/02/2022
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