Provider Demographics
NPI:1558949503
Name:AMOROS GARCIA, AURA MARIE (DO)
Entity type:Individual
Prefix:
First Name:AURA
Middle Name:MARIE
Last Name:AMOROS GARCIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AURA
Other - Middle Name:MARIE
Other - Last Name:AMOROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:116 PARSONS PARK DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6066
Mailing Address - Country:US
Mailing Address - Phone:813-648-5255
Mailing Address - Fax:
Practice Address - Street 1:116 PARSONS PARK DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6066
Practice Address - Country:US
Practice Address - Phone:813-648-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLOS20967207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program