NPI 1104367697 · live from the CMS NPI Registry
Amanda Allen, D.P.M
Podiatrist in Miami Lakes, FL. National Provider Identifier 1104367697, active.
NPI record
| NPI | 1104367697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 15600 Nw 67th Ave Ste 306, Miami Lakes, FL 33014 |
| Practice phone | 305-306-0600 |
| Enumerated | March 16, 2017 |
| Last updated | July 28, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | PO3902 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.