Amita Kaur Glamour, APRN

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

11003593 Issued in FL

Practice address

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427

Phone

(386) 668-2221

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1457999385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HUTCHINSON ST",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321280004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAMOUR",
        "first_name": "AMITA",
        "middle_name": "KAUR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003593",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "11003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georges Transport (none)
• Elize Georges
• Magda S Ghabras, D.O.
• Fred Gilliam, HAS
• Atia Gipson
• Zachary Thomas Gleason, DBH, LMHC, LPC
• Global Health Care Systems
• Wendy Godoy
• Golden Health RX
• Golden Touch Assisted Living Facility, LLC

• Gastroenterology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.