Individual
DR. AMANDA ETHREDGE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4624
(850) 877-7337
Mailing address
2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4624
(850) 877-7337
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME114304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012490400
—
FL
05
—
021073900
—
FL
Enumeration date
06/25/2008
Last updated
02/24/2021
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