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Amanda Birge

NPI 1821912809 · on the registry since 2026 · sole proprietor

Practice

Address
3553 Creekmur Ln
Lakeland, FL 33812
Phone
(863) 397-2890

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida