Individual
AMANDA MARIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21297 OLEAN BLVD STE A, PORT CHARLOTTE, FL 33952-6704
(855) 979-5700
(855) 979-5701
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1119805
FL
Other
Enumeration date
11/24/2014
Last updated
12/02/2019
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