Wilson Morris, Amanda Asmita
Wilson Morris, Amanda Asmita is an individual health care provider with primary practice located at 2 Tampa General Cir Stc 6Th Floor, Tampa FL 33606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Wilson Morris, Amanda Asmita can be contacted via phone (813) 974-2201.Contact Information
Primary practice address
2 Tampa General Cir Stc 6Th Floor
Tampa FL 33606
Phone: (813) 974-2201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME123283 | Florida |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ME123283 | Florida |
Profile Details
| NPI number | 1669768610 |
|---|---|
| LBN Legal business name | Wilson Morris, Amanda Asmita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2011 |
| Last updated | Mar 30th, 2021 - about 5 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 | 1669768610 | NPPES |
| Florida | Other | 150ZX | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 015377700 | BLUE CROSS BLUE SHIELD |
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