# AMANDA AXEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508334210
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA9111720 | FL | Yes |

## Other

- **Enumeration date:** 11/12/2018
- **Last updated:** 05/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101427000 | — | FL |
| 05 | — | 121502600 | — | FL |