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Individual

DR. AMBER LYNN ISLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Mailing address
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0081223
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200651
HEALTHEASE
FL
01
2145544
UNITED HEALTH CARE
FL
05
261631900
FL
01
500029596
RR MEDICARE
FL
01
58998
BCBS PPC
FL
Enumeration date
12/14/2005
Last updated
10/24/2013
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