Hart, Amy Luebke

Hart, Amy Luebke is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Ob/Gyn, Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Hart, Amy Luebke can be contacted via phone (904) 244-4472.

Contact Information

Primary practice address
655 W 8Th St Ufjp Ob/Gyn Jacksonville FL 32209-6511
Phone: (904) 244-4472
Fax: (904) 244-8411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2622302 Florida

Profile Details

NPI number 1568439495
LBN Legal business name Hart, Amy Luebke
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 25th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568439495 NPPES
Georgia MEDICAID 000903735B
Georgia MEDICAID 000903735C
Georgia MEDICAID 3401871-00

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