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Individual

RICHARD M AMASON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1770322
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00360115
RAILROAD MEDICARE
FL
Enumeration date
07/15/2005
Last updated
02/01/2012
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