Avila, Amanda Jane

Avila, Amanda Jane is an individual health care provider with primary practice located at 11215 Metro Pkwy Ste 1 , Fort Myers FL 33966-1206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Avila, Amanda Jane can be contacted via phone (239) 208-2212.

Contact Information

Primary practice address
11215 Metro Pkwy Ste 1 Fort Myers FL 33966-1206
Phone: (239) 208-2212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 51225 Arizona
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 24413 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 292792 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X TM00627 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60595494 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301114050 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD171093 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35.126796 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME112121 Florida

Profile Details

NPI number 1184841397
LBN Legal business name Avila, Amanda Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jan 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184841397 NPPES
Florida MEDICAID 006340000
Florida MEDICAID 008073900

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