Amber Lee Fasula


Address: 253 N Orlando Ave, Suite 202, Maitland, FL 32751-5521

Amber Lee Fasula (NPI# 1730364472, PAC ID# 3375872526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1730364472
PAC ID by PECOS 3375872526
Professional Enrollment ID I20190912003164
Full Name Amber Lee Fasula
Address 253 N Orlando Ave
Suite 202
Maitland
FL 32751-5521
Gender F
Graduation Year 2008
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
253 N Orlando Ave, Suite 202, Maitland, FL 32751-5521

Organization Information

Office Location

Street Address 253 N ORLANDO AVE
SUITE 202
City MAITLAND
State FL
Zip 32751-5521

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Competitor

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City MAITLAND
Zip Code 32751
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty MAITLAND + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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