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NPI Code Detail

MEDICARE: AMY ELLEN BROWNE MORANTES LCSW-C

MEDICARE: AMY ELLEN BROWNE MORANTES LCSW-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
11041C0700XClinical Social Worker16951MD

General Provider Information

NPI Number : 1821411687
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY ELLEN BROWNE MORANTES LCSW-C
Provider Business Mailing Address
First Line : 3224 MARCELLUS CIR
Second Line : SUITE # 622
City : TAMPA
State : FL
Zip : 33609-3086
Country : US
Telephone Number : 240-777-3326
Fax Number : 240-777-4665
Provider Business Practice Location Address
First Line : 1818 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3770
Country : US
Telephone Number : 813-971-2383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2014
Last Update Date : 08/12/2016

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