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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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