Brock, Amanda Lynn
Brock, Amanda Lynn is an individual health care provider with primary practice located at 1511 Surgeons Dr , Tallahassee FL 32308-4680. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brock, Amanda Lynn can be contacted via phone (850) 701-0695.Contact Information
Primary practice address
1511 Surgeons Dr
Tallahassee FL 32308-4680
Phone: (850) 701-0695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 11022900 | Florida |
Profile Details
| NPI number | 1063121689 |
|---|---|
| LBN Legal business name | Brock, Amanda Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2022 |
| Last updated | Nov 22nd, 2022 - about 2 years ago |
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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