Smith, Amanda G

Smith, Amanda G is an individual health care provider with primary practice located at 4001 E Fletcher Ave , Tampa FL 33613-4808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Smith, Amanda G can be contacted via phone (813) 866-1600.

Contact Information

Primary practice address
4001 E Fletcher Ave Tampa FL 33613-4808
Phone: (813) 866-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME77616 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME77616 Florida

Profile Details

NPI number 1316051253
LBN Legal business name Smith, Amanda G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 5th, 2021 - about 4 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 1316051253 NPPES
Florida MEDICAID 006779500
Florida Other 47974

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