Individual
MISS AMANDA DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 PROVIDENCE RD, BRANDON, FL 33511-4885
(813) 651-4441
Mailing address
1355 PROVIDENCE RD, BRANDON, FL 33511-4885
(813) 651-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11165
AZ
363A00000X
Physician Assistant
5601012455
MI
363A00000X
Physician Assistant
Primary
9119905
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2023
Last updated
12/03/2025
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