Individual
AMANDA MARIE HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6709 RIDGE RD STE 204, PORT RICHEY, FL 34668-6834
(727) 717-1392
(407) 671-4155
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(407) 605-2321
(407) 671-4155
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4765
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4765
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/31/2026
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