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Amanda Dendis Boudreaux, MD
Student in an Organized Health Care Education/Training Program in St Petersburg, Florida
NPI 1548900475

Amanda Dendis Boudreaux is a Student in an Organized Health Care Education/Training Program based in St Petersburg, FL. Amanda Dendis Boudreaux practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Amanda Dendis Boudreaux is 1548900475 and holds a License No. (Florida).

The current practice location address for Amanda Dendis Boudreaux is 700 6Th St S, St Petersburg, FL and can be reached out via phone at 727-893-6198 and via fax at 727-893-6978.

Location: 700 6Th St S, St Petersburg, FL, 33701-4815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548900475
Provider Name
Amanda Dendis Boudreaux
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
700 6Th St S, St Petersburg, FL, 33701-4815
Phone Number
727-893-6198
Fax Number
727-893-6978
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 6Th St S
City
St Petersburg
State
Florida
Zip
33701-4815
Phone Number
727-893-6198
Fax Number
727-893-6978
person
Provider Business Mailing Address Details
Address
700 6Th St S
City
St Petersburg
State
Florida
Zip
33701-4815
Phone Number
727-893-6198
Fax Number
727-893-6978
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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