Whalio Doctors

NPI 1023614195

Amanda Richards

Practitioner Driver Lakeland, FL

Practice location

Address
5358 Montserrat Dr, Lakeland, FL 33812-4083
Phone
(863) 709-3961

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X Licence R263012787900 (FL)

Registry record

NPI
1023614195
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Dec 2020
Record last updated
4 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.