DR. AMY WINTERBOTHAM HARDMAN MD NPI 1629061932

NPI Information

DR. Amy Winterbotham Hardman, MD is an adolescent medicine pediatrics in Jacksonville, FL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Amy Winterbotham Hardman, MD NPI is 1629061932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2121 PARK ST
JACKSONVILLE, FL
ZIP 32204-811
Phone: (904) 387-6200
Fax: (904) 387-0261

The NPI 1629061932 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 2/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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