Individual
MS. AMANDA MINNOCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1809 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6001
(954) 510-1900
Mailing address
1809 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6001
(954) 510-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013493
NY
363A00000X
Physician Assistant
2311
CT
363A00000X
Physician Assistant
Primary
9105438
FL
Other
Enumeration date
09/17/2009
Last updated
03/22/2013
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