Individual
AMANDA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C, MS, ATC
Contact information
Practice address
1220 RESERVE WAY, #306, NAPLES, FL 34105
(239) 682-2332
Mailing address
1220 RESERVE WAY, #306, NAPLES, FL 34105-3815
(239) 682-2332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL 1743
FL
363A00000X
Physician Assistant
Primary
PA9111111
FL
Other
Enumeration date
01/10/2007
Last updated
07/04/2018
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