Individual
AMANDA SENEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18282 69TH DR, MC ALPIN, FL 32062-2700
(386) 249-1640
(386) 364-1633
Mailing address
18282 69TH DR, MC ALPIN, FL 32062-2700
(386) 249-1640
(386) 364-1633
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CRC1329482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006611200
—
FL
Enumeration date
01/21/2015
Last updated
01/21/2015
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