MEDICARE: AMY BATCHELDER HANDLIN PA-C

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	207RC0000X	Cardiovascular Disease Physician	PA9101616	FL

General Provider Information

NPI Number	:	1396731972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY BATCHELDER HANDLIN PA-C

Provider Business Mailing Address
First Line	:	2727 W DR MARTIN LUTHER KING JR BLVD
Second Line	:	SUITE 800
City	:	TAMPA
State	:	FL
Zip	:	33607-6383
Country	:	US
Telephone Number	:	813-875-1177
Fax Number	:	813-874-1909

Provider Business Practice Location Address
First Line	:	2727 W DR MARTIN LUTHER KING JR BLVD
Second Line	:	SUITE 800
City	:	TAMPA
State	:	FL
Zip	:	33607-6383
Country	:	US
Telephone Number	:	813-875-1177
Fax Number	:	813-874-1909

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	06/24/2009

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