Individual
DR. AMANDA CUNNINGHAM ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11500 UNIVERSITY BLVD, ORLANDO, FL 32817-2197
(407) 246-1788
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME142668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LX216
MEDICARE
FL
01
—
P02413866
RRMR
FL
Enumeration date
05/14/2012
Last updated
08/30/2024
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