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Individual

AMY YOUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
224 MEMORIAL MEDICAL PKWY STE 300, DAYTONA BEACH, FL 32117-5111
(386) 231-4060
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9165167
FL
363L00000X
Nurse Practitioner
ARNP9165167
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110660000
FL
Enumeration date
01/31/2018
Last updated
10/28/2022
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