Provider Demographics
NPI:1275587669
Name:AMOIA, FLORENCE (LPT)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:
Last Name:AMOIA
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 SANFORD DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-2555
Mailing Address - Country:US
Mailing Address - Phone:828-437-3071
Mailing Address - Fax:828-437-3072
Practice Address - Street 1:357 SANFORD DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-2555
Practice Address - Country:US
Practice Address - Phone:828-437-3071
Practice Address - Fax:828-437-3072
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4395174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC136KTOtherBC/BS
NCP00229119OtherRAILROAD MEDICARE PROVIDER ID
NC136KTOtherBC/BS