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NPI Code Detail

MEDICARE: CHRISTIE M AMURGIS MA CCC SLP

MEDICARE: CHRISTIE M AMURGIS MA CCC SLP
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
1222Q00000XDevelopmental Therapist
2235Z00000XSpeech-Language PathologistSA7425FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427184928
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE M AMURGIS MA CCC SLP
Provider Business Mailing Address
First Line : 3602 W SAN JUAN ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6922
Country : US
Telephone Number : 813-833-0090
Fax Number : 813-852-6373
Provider Business Practice Location Address
First Line : 3602 W SAN JUAN ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6922
Country : US
Telephone Number : 813-833-0090
Fax Number : 813-852-6373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 04/17/2020

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