Individual
MISS AMANDA SHIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTHALL LN STE 207, MAITLAND, FL 32751-7478
(800) 840-2528
Mailing address
4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 32816-3003
(954) 857-3280
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
10/11/2019
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