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Amanda Evangelista

NPI 1578160297 · on the registry since 2020

Practice

Address
2119 Se Destin Dr
Port Saint Lucie, FL 34952
Phone
(609) 402-5496

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-29

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