Individual
AMY BROOKE MENDONSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
96279 BRADY POINT RD, FERNANDINA BEACH, FL 32034
(904) 321-0088
(904) 321-0016
Mailing address
96279 BRADY POINT RD, FERNANDINA BEACH, FL 32034-7076
(904) 321-0088
(904) 321-0016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005712
VA
363AM0700X
Medical Physician Assistant
PA9106594
FL
Other
Enumeration date
08/07/2012
Last updated
07/30/2026
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