Individual
AMANDA VO PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11030747
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11030747
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11030747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122382500
—
FL
Enumeration date
04/08/2024
Last updated
12/13/2025
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