Provider Demographics
NPI:1992412548
Name:AUMILLER, AMANDA H (AP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:H
Last Name:AUMILLER
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 CENTRAL GARDENS WAY APT 204
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4095
Mailing Address - Country:US
Mailing Address - Phone:443-798-5252
Mailing Address - Fax:
Practice Address - Street 1:8645 N MILITARY TRL STE 409
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6295
Practice Address - Country:US
Practice Address - Phone:561-247-5207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4386171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist