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Individual

AMANDA E CARRION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6181 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-2227
(954) 493-6496
(954) 493-6726
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 493-6496
(954) 493-6726

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2010011909
MO
208000000X
Pediatrics Physician
Primary
ME119669
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2010011909
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011690700
FL
05
103810130
MO
Enumeration date
02/28/2008
Last updated
10/15/2019
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