Individual
DR. AMANDA MARGARET PANOUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
528 W BALDWIN RD UNIT B, PANAMA CITY, FL 32405-3313
(850) 215-0128
Mailing address
2360 SW ARCHER RD APT 621, GAINESVILLE, FL 32608-1016
(704) 351-2891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24880
FL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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