Glass, Amanda Rose

Glass, Amanda Rose is an individual health care provider with primary practice located at 9800 S Healthpark Dr Ste 320 , Fort Myers FL 33908-3630. 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 / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Glass, Amanda Rose can be contacted via phone (239) 343-6350.

Contact Information

Primary practice address
9800 S Healthpark Dr Ste 320 Fort Myers FL 33908-3630
Phone: (239) 343-6350
Fax: (239) 343-4738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11025009 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11025009 Florida

Profile Details

NPI number 1225814064
LBN Legal business name Glass, Amanda Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2023
Last updated Jan 10th, 2024 - 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 1225814064 NPPES
Florida MEDICAID 120416400

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