Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 23308 | MS |
N | 208000000X | Pediatrician | T-2454 | MS |
Y | 2080P0207X | Pediatric Hematology-Oncologist | ME133697 | FL |
NPI | 1164719597 |
---|---|
Provider Name | Dr. Amanda Ledbetter Strobel |
First Address | Pensacola, FL 32513-2619 |
Second Address | Pensacola, FL 32504-5708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 17/03/2018 |