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NPI Code Detail

MEDICARE: ASPIRANT LIFE PLLC

MEDICARE: ASPIRANT LIFE PLLC
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1972438042
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRANT LIFE PLLC
Provider Business Mailing Address
First Line : 7901 4TH ST N STE 300
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33702-4399
Country : US
Telephone Number : 813-846-3000
Fax Number :
Provider Business Practice Location Address
First Line : 6002 N CENTRAL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-6708
Country : US
Telephone Number : 813-846-3000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. AMBER MICHELLE GUM
Credential : PHD
Telephone Number : 813-846-3000
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ASPIRANT LIFE PLLC ” Practice Location

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