Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C2-0011975 | DE |
Y | 2080P0216X | Pediatric Rheumatologist | OS15291 | FL |
NPI | 1356608954 |
---|---|
Provider Name | Amanda R Schlefman |
First Address | St Petersburg, FL 33701-4804 |
Second Address | St Petersburg, FL 33701-4804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 23/08/2018 |