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Contact Information

AMANDA CRUZ DEWEESE, DO
841 PRUDENTIAL DR
JACKSONVILLE, FL32207-8329
 Phone: 904-396-5682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for AMANDA CRUZ DEWEESE · (Female)

NPI # 1184005027
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/16/2015
Last updated 07/09/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 15296
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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