Hardman, Amy Winterbotham

Hardman, Amy Winterbotham is an individual health care provider with primary practice located at 2121 Park St , Jacksonville FL 32204-3811. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Hardman, Amy Winterbotham can be contacted via phone (904) 387-6200.

Contact Information

Primary practice address
2121 Park St Jacksonville FL 32204-3811
Phone: (904) 387-6200
Fax: (904) 387-0261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME 76418 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME76418 Florida

Profile Details

NPI number 1629061932
LBN Legal business name Hardman, Amy Winterbotham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 13th, 2017 - 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 1629061932 NPPES
Florida MEDICAID 259018200

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