Roeding, Amanda

Roeding, Amanda is an sole proprietor health care provider with primary practice located at 9320 State Road 54 , Trinity FL 34655-1808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Roeding, Amanda can be contacted via phone (727) 493-2513.

Contact Information

Primary practice address
9320 State Road 54 Trinity FL 34655-1808
Phone: (727) 493-2513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9308604 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9308604 Florida

Profile Details

NPI number 1528469160
LBN Legal business name Roeding, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2014
Last updated Oct 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528469160 NPPES
Florida MEDICAID 254016982

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