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NPI Code Detail

MEDICARE: AMANDA DENISE HARGROVE DO

MEDICARE:   AMANDA DENISE HARGROVE  DO
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
1208100000XPhysical Medicine & Rehabilitation PhysicianOS20750FL

General Provider Information

NPI Number : 1336776426
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DENISE HARGROVE DO
Provider Business Mailing Address
First Line : 520 LOCHWOOD DR
Second Line :
City : MURPHY
State : TX
Zip : 75094-4284
Country : US
Telephone Number : 469-556-8189
Fax Number :
Provider Business Practice Location Address
First Line : 625 E TWIGGS ST STE 103
Second Line :
City : TAMPA
State : FL
Zip : 33602-3910
Country : US
Telephone Number : 813-228-7696
Fax Number : 813-228-0677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 07/10/2024

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Directions to “ AMANDA DENISE HARGROVE DO” Practice Location

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