Individual
AMANDA ROEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 493-2513
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(727) 493-2513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9308604
FL
363LF0000X
Family Nurse Practitioner
9308604
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9308604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108998200
—
FL
05
—
254016982
—
FL
Enumeration date
09/15/2014
Last updated
06/05/2026
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