Healthcare Provider Details

I. General information

NPI: 1184531857
Provider Name (Legal Business Name): AMPLY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5417 E COUNTY HIGHWAY 30A
SANTA ROSA BEACH FL
32459-6561
US

IV. Provider business mailing address

22 E SEABROOK WAY
INLET BEACH FL
32461-9523
US

V. Phone/Fax

Practice location:
  • Phone: 866-503-7650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEVEN SEIFRIED
Title or Position: CEO
Credential:
Phone: 866-503-7650