Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 11002252 | FL |
NPI | 1033773890 |
---|---|
Provider Name | Mrs. Amanda J Dolif |
First Address | Miami, FL 33156-2866 |
Second Address | Hollywood, FL 33026-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2019 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
APRN11002252 | APRN (01) | FL |