Individual provider · Type 1 NPI
Amanda Surujbali, APRN
Gerontology Nurse Practitioner · Tampa, FL
NPI number
1407689664
Active
Practice location
2727 W Dr Martin Luther King Jr Blvd Ste 460
Tampa, FL 33607-6001
Fax (813) 443-8152
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN11034927 (FL) |
| Acute Care Nurse Practitioner | 363LA2100X | 11034927 (FL) |
Gerontology Nurse Practitioner: Definition to come...
4 other providers at this address
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- Griseida Montanez, APRNGerontology Nurse Practitioner Tampa, FL NPI 1033946462
- Samantha R. Klebowski, AGPNPGerontology Nurse Practitioner Tampa, FL NPI 1073249017
- Lisa Paulette PanishGerontology Nurse Practitioner Tampa, FL NPI 1073669172
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- Lori Ann Reale, APRNGerontology Nurse Practitioner Tampa, FL NPI 1104711936
About NPI 1407689664
Amanda Surujbali, APRN's National Provider Identifier is 1407689664, issued on Aug 22, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tampa, FL. The record was last updated on Mar 10, 2026.