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Amanda Shipe

Student in an Organized Health Care Education/Training Program in Maitland, FL. Individual provider (NPI-1).

NPI number1982176152
StatusActive
Last updated in NPPESOct 11, 2019

Details

NPI
1982176152
Entity type
Individual (NPI-1)
Name
Miss Amanda Shipe
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 27, 2018
Last updated
Oct 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2700 Westhall Ln Ste 207
Maitland, FL 32751-7478

Phone 800-840-2528

Mailing address

4000 Central Florida Blvd
Orlando, FL 32816-3003

Phone 954-857-3280

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