Dyal, Amelia Lyn

Dyal, Amelia Lyn is an individual health care provider with primary practice located at 2402 Frist Blvd Ste 200 , Fort Pierce FL 34950-4838. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Dyal, Amelia Lyn can be contacted via phone (772) 465-4651.

Contact Information

Primary practice address
2402 Frist Blvd Ste 200 Fort Pierce FL 34950-4838
Phone: (772) 465-4651
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9229005 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9229005 Florida

Profile Details

NPI number 1386992931
LBN Legal business name Dyal, Amelia Lyn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Feb 19th, 2025 - about last year

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 1386992931 NPPES
Florida Other MF561 FL MEDICARE
Florida Other MF562 FL MEDICARE
Florida MEDICAID 105980300 FL MEDICARE

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