Amanda Lee Miller PA-C

NPI 1760883219 - Physician Assistant - 363AS0400X

NPI Details
NPI 1760883219
Gender Female
Enumeration Date 09/15/2014
Last Updated 09/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
918 ROLLING ACRES RD
STE 8
LADY LAKE FL, 32159-5027, US
Phone (407) 355-3120
Fax (407) 355-3119
Business Location
1640 N MAITLAND AVE
STE 1000
MAITLAND FL, 32751-3320, US
Phone (407) 355-3120
Fax (407) 355-3119
Toxanomy
Taxonomy Code 363AS0400X
License State Florida
License Number PAT9108155
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According to our database, Ms. Amanda Lee Miller PA-C NPI is 1760883219, taxonomy code is 363AS0400X and license number is PAT9108155, license state is located at Florida. Amanda Lee Miller PA-C physically located at 918 Rolling Acres Rd, Lady Lake FL, 32159-5027. NPI Number Amanda Lee Miller PA-C has the Individual type.

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1760883219 NPI number is provided on an as is basis without warranty of any kind. 1760883219 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Lee Miller PA-C are for informational purposes only.