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Individual

MRS. AMANDA K HUFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
22655 BAYSHORE RD STE 130, PORT CHARLOTTE, FL 33980
(941) 255-3722
(941) 255-3723
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(941) 255-3722
(941) 255-3723

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9272299
FL
364S00000X
Clinical Nurse Specialist
APRN9272299
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019097600
FL
Enumeration date
09/29/2009
Last updated
01/31/2022
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