Provider Demographics
NPI:1902987977
Name:SONNENBLICK, AMY L (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:SONNENBLICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:600 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3166
Mailing Address - Country:US
Mailing Address - Phone:954-635-6243
Mailing Address - Fax:954-635-6246
Practice Address - Street 1:600 S PINE ISLAND RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3166
Practice Address - Country:US
Practice Address - Phone:954-635-6243
Practice Address - Fax:954-635-6246
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2017-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME72709207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5219Medicare UPIN
FL22250Medicare UPIN