Individual
DR. AMANDA DIANE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3573 SW CORPORATE PKWY, PALM CITY, FL 34990-8153
(772) 283-5431
Mailing address
6055 SW BALD EAGLE DR, PALM CITY, FL 34990-8862
(772) 283-7523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME89635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377282901
—
FL
Enumeration date
07/18/2006
Last updated
12/20/2012
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