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NPI Code Detail

MEDICARE: AMANDA DAWN FILOSI ARNP

MEDICARE:   AMANDA DAWN FILOSI  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
1363LF0000XFamily Nurse PractitionerARNP 9248442FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750781167
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DAWN FILOSI ARNP
Provider Business Mailing Address
First Line : 2624 ATLANTIC BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3668
Country : US
Telephone Number : 904-513-3240
Fax Number : 904-379-2911
Provider Business Practice Location Address
First Line : 2624 ATLANTIC BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3668
Country : US
Telephone Number : 904-513-3240
Fax Number : 904-379-2911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2014
Last Update Date : 05/02/2016

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