MEDICARE: AMANDA JOSEPH ARNP

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	363LF0000X	Family Nurse Practitioner	ARNP9325680	FL
2	363LP2300X	Primary Care Nurse Practitioner	ARNP9325680	FL

General Provider Information

NPI Number	:	1629460084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA JOSEPH ARNP

Provider Business Mailing Address
First Line	:	1669 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3136
Country	:	US
Telephone Number	:	305-325-7909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1669 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3136
Country	:	US
Telephone Number	:	305-325-7909
Fax Number	:

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

Provider Enumeration Date	:	02/23/2015
Last Update Date	:	05/10/2017

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