Amanda Jane Avila MD

NPI 1184841397 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1184841397
Gender Female
Enumeration Date 04/19/2007
Last Updated 05/30/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
12670 WHITEHALL DR
FORT MYERS FL, 33907-3619, US
Phone (239) 936-3554
Fax (239) 936-8993
Business Location
12670 WHITEHALL DR
FORT MYERS FL, 33907-3619, US
Phone (239) 936-3554
Fax (239) 936-8993
Toxanomy
Taxonomy Code 2084N0400X
License State Florida
License Number ME112121
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According to our database, Amanda Jane Avila MD NPI is 1184841397, taxonomy code is 2084N0400X and license number is ME112121, license state is located at Florida. Amanda Jane Avila MD physically located at 12670 Whitehall Dr, Fort Myers FL, 33907-3619. NPI Number Amanda Jane Avila MD has the Individual type.

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1184841397 NPI number is provided on an as is basis without warranty of any kind. 1184841397 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Jane Avila MD are for informational purposes only.