Individual
AMANDA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SOUTHPARK BLVD STE 102, ST AUGUSTINE, FL 32086-3129
(904) 417-6236
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16107
FL
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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