Individual
AMANDA B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 N PARK AVE STE 218, WINTER PARK, FL 32789-3227
(407) 720-5119
(407) 610-1317
Mailing address
525 N PARK AVE STE 218, WINTER PARK, FL 32789-3227
(407) 720-5119
(407) 610-1317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19056
TN
363L00000X
Nurse Practitioner
9447525
FL
363LF0000X
Family Nurse Practitioner
Primary
19056
TN
363LF0000X
Family Nurse Practitioner
Primary
9447525
FL
Other
Enumeration date
09/19/2014
Last updated
07/20/2026
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