Basic Information
| Provider Information | |||||||||
| NPI: | 1003146549 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMMANT | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | MARIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8455 LAGERFELD DR | ||||||||
| Address2: | |||||||||
| City: | LAND O LAKES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346373211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138928990 | ||||||||
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| Practice Location | |||||||||
| Address1: | 110 W COUNTRY CLUB DR | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336125651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138928990 | ||||||||
| FaxNumber: | 8445386387 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2010 | ||||||||
| LastUpdateDate: | 09/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174N00000X | L12954 | FL | Y | Other Service Providers | Lactation Consultant, Non-RN |
No ID Information.