Dr. Amanda Colonneaux
Dental Public Health
3510 Biscayne Blvd
Miami
, Florida 33137-3840
Dr. Amanda Colonneaux
Dental Public Health
3510 Biscayne Blvd
Miami
, Florida 33137-3840
(414) 943-4802
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Amanda Colonneaux
- 3510 Biscayne Blvd
- Miami, FL
- Zip : 33137-3840
- Phone : (414) 943-4802
Second Address
- Dr. Amanda Colonneaux
- 3510 Biscayne Blvd
- Miami, FL
- Zip : 33137-3840
- Phone : (414) 943-4802
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DN22362 | FL |
National Provider Identifier
| NPI | 1073967519 |
|---|---|
| Provider Name | Dr. Amanda Colonneaux |
| First Address | Miami, FL 33137-3840 |
| Second Address | Miami, FL 33137-3840 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2016 |
| Last Update Date | 10/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.