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1730575143
AMANDA BYRD MCCORMACK
TAVARES, FL
NPI
1730575143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL ARNP9164870)
Enumeration Date
2015-04-13
Last Update Date
2015-04-13
Business Address
MRS. AMANDA BYRD MCCORMACK ARNP, NP-C
2523 DORA AVE
TAVARES, FL 32778
Phone number: 352-508-5176
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Mailing Address
MRS. AMANDA BYRD MCCORMACK ARNP, NP-C
2523 DORA AVE
TAVARES, FL 32778
Phone number: 352-508-5176
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