Individual
DR. AMANDA ELAYNE HANEKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 LANDOVER PL, LONGWOOD, FL 32750-4924
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 7410884, CHICAGO, IL 60674-0884
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME145987
FL
Other
Enumeration date
03/30/2016
Last updated
10/03/2025
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