Provider Information for 1477825313
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Dr. AMANDA MARIE VELDORALE-GRIFFIN PhD
Other Names:Former Name:AMANDA MARIE VELDORALE-BROGAN MSSex: Female
NPI: 1477825313
Last Updated: 2015-11-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477825313 | ||||||||
| Enumeration Date | 2012-02-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4090 DELTONA BLVD SPRING HILL, FL 34606-2203 United States Phone: 352-232-5525 | Fax: | ||||||||
| Primary Practice Address | 4090 DELTONA BLVD SPRING HILL, FL 34606-2203 United States Phone: 352-232-5525 | Fax: | ||||||||
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