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NPI Code Detail

MEDICARE: DR. AMANDA BIGHORSE D.O.

MEDICARE: DR. AMANDA BIGHORSE D.O.
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
1207Q00000XFamily Medicine Physician5203OK

General Provider Information

NPI Number : 1619243888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA BIGHORSE D.O.
Provider Business Mailing Address
First Line : 601 S HARBOUR ISLAND BLVD STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33602-5925
Country : US
Telephone Number : 727-322-3439
Fax Number :
Provider Business Practice Location Address
First Line : 7912 E 31ST CT
Second Line :
City : TULSA
State : OK
Zip : 74145-1315
Country : US
Telephone Number : 918-743-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2012
Last Update Date : 03/09/2026

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Directions to “ DR. AMANDA BIGHORSE D.O.” Practice Location

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