Individual
AMANDA KRISTIN BRIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MEMORIAL MEDICAL PKWY STE 125, DAYTONA BEACH, FL 32117-5672
(386) 274-0250
(386) 274-0269
Mailing address
103 MEMORIAL MEDICAL PKWY STE 125, DAYTONA BEACH, FL 32117-5672
(386) 274-0250
(386) 274-0269
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS22654
FL
Other
Enumeration date
04/13/2020
Last updated
11/10/2025
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