Individual
AMANDA BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME158502
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME158502
FL
208100000X
Physical Medicine & Rehabilitation Physician
ME158502
FL
208M00000X
Hospitalist Physician
ME158502
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
08/21/2025
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