John C Amann, MD
Individual provider Active NPI Specialist · Winter Haven, FL
NPI 1104870088 · NPPES record last updated Jan 14, 2013
Key facts
- NPI
- 1104870088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- ME43577 (FL)
- Practice address
- 50 2ND St SE
Winter Haven, FL 33880-6300 - Phone
- (863) 293-2107
- Fax
- (863) 298-8487
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME43577 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME43577 | FL | Yes |
Addresses
Primary practice location
50 2ND St SE
Winter Haven, FL 33880-6300
Mailing address
50 2ND St SE
Winter Haven, FL 33880-6300
Phone (863) 293-2107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035922000 | Medicaid | FL |
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.