Individual
AMANDA BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 W NEW HAVEN AVE, MELBOURNE, FL 32904-4110
(321) 434-1744
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11030224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123249700
—
FL
01
—
TG128
MEDICARE HF
FL
Enumeration date
04/01/2024
Last updated
08/12/2024
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