Main, Amanda Irene

Main, Amanda Irene is an individual health care provider with primary practice located at 500 Winderley Pl Ste 115 , Maitland FL 32751-7406. 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. Main, Amanda Irene can be contacted via phone (407) 875-0555.

Contact Information

Primary practice address
500 Winderley Pl Ste 115 Maitland FL 32751-7406
Phone: (407) 875-0555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 027177 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAT9108927 Florida

Profile Details

NPI number 1144699653
LBN Legal business name Main, Amanda Irene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated Feb 2nd, 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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