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NPI 1821170705

IndividualActive

Amanda Houston

NPI 1821170705 · Contractor · Lake City, FL

Provider details

NPI number: 1821170705
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Female
Sole proprietor: Yes

Practice location

110 Nw White Oak Glenn

Lake City, FL 32055

Phone: (386) 288-4474

Fax: (386) 755-3944

More FL providers

Mailing address

Po Box 381

Lake City, FL 32056-0381

Registry dates

Enumerated: 2006-10-19
Last updated: 2007-07-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Houston — NPI 1821170705, Lake City, FL | NPI Central