Amanda Victoria Puello
Amanda Victoria Puello is a Nurse Practitioner in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
12902 Usf Magnolia DrTampa, FL 33612-9416
Phone: (813) 745-5739
Fax: (813) 449-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence APRN11018206 (FL) |
|---|---|
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X · Licence 11018206 (FL) |
Record details
| NPI number | 1326789454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 21, 2025 |
| Certification date | April 21, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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