Provider Demographics
NPI:1467493817
Name:LEY, AMELIA MIULEN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:MIULEN
Last Name:LEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMELIA
Other - Middle Name:MIULEN
Other - Last Name:LEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8900 SE 165TH MULBERRY LANE
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-0900
Mailing Address - Country:US
Mailing Address - Phone:352-674-5053
Mailing Address - Fax:352-674-5001
Practice Address - Street 1:8900 SE 165TH MULBERRY LN
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5884
Practice Address - Country:US
Practice Address - Phone:352-674-5053
Practice Address - Fax:352-674-5001
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073636207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254810100Medicaid
FL254810100Medicaid