DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMIE BLACKWOOD, PTA

Active Sole Proprietor

AMIE BLACKWOOD, PTA is a Community Health Worker healthcare provider located in LAKE MARY, Florida. NPI 1851744056 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · LAKE MARY, FL

Registration Details

NPI Number
1851744056
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2016 (10.103912674394 yrs)
Last Updated
Jul 22, 2016
License
PTA23405 (FL)
Sole Proprietor
Yes

Practice Information

Address
781 CREEKWATER TER
APT 111
LAKE MARY, FL, 327466063
Browse FL providers · Browse ZIP 32746
Phone
4079254605
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.