Smith, Amy Amundson

Smith, Amy Amundson is an individual health care provider with primary practice located at 92 W Miller St , Orlando FL 32806-2032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Smith, Amy Amundson can be contacted via phone (321) 841-8588.

Contact Information

Primary practice address
92 W Miller St Orlando FL 32806-2032
Phone: (321) 841-8588
Fax: (321) 841-8560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME92833 Florida

Profile Details

NPI number 1811938806
LBN Legal business name Smith, Amy Amundson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 11th, 2016 - about 9 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 1811938806 NPPES
Georgia MEDICAID 247513289A
Georgia MEDICAID 267133600
Georgia Other ME92833

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