Provider Demographics
NPI:1033504899
Name:CHAMBERS, AMANDA L T (ARNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:L T
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 S DIXIE HWY STE 304
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3159
Mailing Address - Country:US
Mailing Address - Phone:888-696-4322
Mailing Address - Fax:
Practice Address - Street 1:1430 S DIXIE HWY STE 304
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3159
Practice Address - Country:US
Practice Address - Phone:888-696-4322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9235161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily