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Individual

MS. AMY N DE LA FUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4141 US HIGHWAY 27 N STE 5, SEBRING, FL 33870-1337
(863) 202-6353
(863) 451-0005
Mailing address
4141 US HIGHWAY 27 N STE 5, SEBRING, FL 33870-1337
(863) 202-6353
(863) 451-0005

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0037832
OH
363LA2200X
Adult Health Nurse Practitioner
316040
AZ
363LA2200X
Adult Health Nurse Practitioner
4029272
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9327671
FL
363LF0000X
Family Nurse Practitioner
ARNP9327671
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
832148721
FL
01
MDXDE
BLUE CROSS BLUE SHEILD
FL
Enumeration date
08/31/2015
Last updated
10/22/2025
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