Individual
DR. AMANDA RATLIFF DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 APOLLO BEACH BLVD, APOLLO BEACH, FL 33572-2281
(813) 645-8494
(813) 645-0912
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME133617
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME133617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126783000
—
FL
01
—
FLU54
BCBS
FL
Enumeration date
03/27/2016
Last updated
12/07/2025
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