Taylor, Amanda R
Taylor, Amanda R is an individual health care provider with primary practice located at 2349 Village Square Pkwy Ste 107 , Fleming Island FL 32003-4319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Taylor, Amanda R can be contacted via phone (904) 223-3321.Contact Information
Primary practice address
2349 Village Square Pkwy Ste 107
Fleming Island FL 32003-4319
Phone: (904) 223-3321
Fax: (904) 223-2169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1020 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9112944 | Florida |
Profile Details
| NPI number | 1700913472 |
|---|---|
| LBN Legal business name | Taylor, Amanda R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Oct 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700913472 | NPPES |
| Kentucky | Other | 000000514238 | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE |
| Kentucky | Other | 710001496 | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE |
| Kentucky | Other | 2847841000 | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE |
| Kentucky | Other | 000051983D | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE |
| Kentucky | Other | 7985259 | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE |
| Kentucky | Other | 50015087 | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE |
| Kentucky | Other | 611276316-046 | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE |
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