Individual
AMANDA VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(866) 624-7637
Mailing address
2425 NE 8TH PL, OCALA, FL 34470-6213
(601) 297-2973
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME172677
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2021
Last updated
05/21/2025
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