Amanda Camp

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AMANDA CAMP

Doing business as

Complete Integrative Medical Clinic, LLC.

Practice address

2835 W de Leon St Ste 201
Tampa, FL 33609-4130

Phone

(727) 428-6344

Fax

(813) 350-0703

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Camp, DNPNPCNPI 1366761546

Title

Owener

Phone

(813) 374-5584

Specialties & licenses 1

Addresses

Other names 1

• COMPLETE INTEGRATIVE MEDICAL CLINIC, LLC. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Camp, ARNP

  • Primary Care Nurse Practitioner
  • Tampa, FL
  • NPI 1366761546
  NPD Authorized official
• Kathleen Leber, M.D.

  • Dermatology Physician
  • Tampa, FL
  • NPI 1285603365
  NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1760170393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "727-428-6344",
            "fax_number": "813-350-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "727-428-6344",
            "fax_number": "813-350-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA CAMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "813-374-5584",
        "authorized_official_credential": "DNPNPC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE INTEGRATIVE MEDICAL CLINIC, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMPLETE INTEGRATIVE MEDICAL CLINIC, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mary Amador
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• Juliana Kwarteng Amankwah
• Amanollah Tabesh MD PA
• Amante Medical and Diabetic Center, P.a.
• Ansel Philip Amaral, MD, PHD
• Marisa Amaral

• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.