Search › Florida › 363LF0000X
Amanda Wallace, NP
NPI 1275104796 · on the registry since 2021
Practice
- Address
- 214 Morrison Rd Ste 104
Brandon, FL 33511 - Phone
- (813) 681-6474
- Fax
- (813) 654-8473
- Organisation at this address
- Jose R Prieto Md Pa
Jose R Prieto Md Pa
Tampa General Medical Group IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 2590 Healing Way Ste 310, Wesley Chapel, FL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida