Provider Demographics
NPI:1649525833
Name:AMIN, SAPNALAXMI (MD)
Entity type:Individual
Prefix:DR
First Name:SAPNALAXMI
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 5TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4672
Mailing Address - Country:US
Mailing Address - Phone:863-452-3012
Mailing Address - Fax:863-291-5124
Practice Address - Street 1:106 NW 9TH STREET
Practice Address - Street 2:
Practice Address - City:MULBERRY
Practice Address - State:FL
Practice Address - Zip Code:33860-2292
Practice Address - Country:US
Practice Address - Phone:863-425-6200
Practice Address - Fax:863-425-6219
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123378207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine