MEDICARE: JOHANNA Y AMARANTE HAIR LOSS SPECIALIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744P3200X	Prosthetics Case Management		FL
2	174H00000X	Health Educator		FL

General Provider Information

NPI Number	:	1154829711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA Y AMARANTE HAIR LOSS SPECIALIST

Provider Business Mailing Address
First Line	:	8909 REGENTS PARK DR
Second Line	:	STE 415
City	:	TAMPA
State	:	FL
Zip	:	33647-3432
Country	:	US
Telephone Number	:	813-444-3229
Fax Number	:

Provider Business Practice Location Address
First Line	:	8909 REGENTS PARK DRIVE
Second Line	:	STE 415
City	:	TAMPA
State	:	FL
Zip	:	33647-3077
Country	:	US
Telephone Number	:	813-444-3229
Fax Number	:	813-444-3229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	01/14/2026

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