Individual
AMANDA D WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT, RPT, PMP
Contact information
Practice address
249 SILVER MYRTLE CT, SAINT AUGUSTINE, FL 32092-0140
(954) 701-4242
Mailing address
249 SILVER MYRTLE CT, SAINT AUGUSTINE, FL 32092-0140
(954) 701-4242
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RPT2657
FL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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