| Amanda Wiegert, Llc | |
|
100 E Sybelia Ave Ste 380 Maitland FL 32751-4775 | |
| (407) 448-9521 | |
| Not Available |
| Full Name | Amanda Wiegert, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 E Sybelia Ave Ste 380, Maitland, Florida |
| Authorized Official Name and Position | Amanda Wiegert (OWNER) |
| Authorized Official Contact | 4074489521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Wiegert, Llc 100 E Sybelia Ave Ste 380 Maitland FL 32751-4775 Ph: (407) 448-9521 | Amanda Wiegert, Llc 100 E Sybelia Ave Ste 380 Maitland FL 32751-4775 Ph: (407) 448-9521 |
| NPI Number | 1144842782 |
|---|---|
| Provider Enumeration Date | 05/16/2020 |
| Last Update Date | 05/16/2020 |
| Certification Date | 05/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144842782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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