Individual
AMANDA ASHLEY BONAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 NW FEDERAL HWY, STUART, FL 34994-9600
(772) 291-1614
Mailing address
8928 CHAMPIONS WAY, PORT ST LUCIE, FL 34986-3092
(914) 924-3976
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5420
FL
Other
Enumeration date
03/20/2023
Last updated
03/24/2023
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