Individual
AMANDA LINS CHISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 231, TAMPA, FL 33613-3946
(813) 345-2380
(813) 877-6708
Mailing address
13801 BRUCE B DOWNS BLVD STE 231, TAMPA, FL 33613-3946
(813) 345-2380
(813) 877-6708
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110213
FL
Other
Enumeration date
03/03/2017
Last updated
07/20/2020
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