Amanda G. Connan PA-C
Physician Assistant in Melbourne, FL(View on Map)
Full Name
Amanda Gray Connan PA-C
NPI Number
1851584593
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/27/2007
Specialties
(Taxonomies)Code
363A00000X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
Georgia
License Number
PA9106972
005133
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 561600
8725 N WICKHAM RD
City
Rockledge
Melbourne
State
FL
FL
Postal Code
32956-1600
32940-2239
Country
US
US
Telephone Number
(321) 434-4600
(321) 434-9230
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/29/2012
Provider Address
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