Provider Information for 1659738029
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AMANDA ALLEYNE
Sex: Female
NPI: 1659738029
Last Updated: 2023-03-15
Certification Date: 2023-03-15
Certification Date: 2023-03-15
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1659738029 | ||||||||||||
| Enumeration Date | 2016-01-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1941 GREENWOOD VALLEY DR PLANT CITY, FL 33563-6995 United States Phone: 863-738-0704 | Fax: | ||||||||||||
| Primary Practice Address | 1941 GREENWOOD VALLEY DR PLANT CITY, FL 33563-6995 United States Phone: 863-738-0704 | Fax: | ||||||||||||
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