Individual
AMANDA DIBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 HEALTH PARK BLVD STE 219, ST AUGUSTINE, FL 32086-5795
(904) 819-9898
(877) 355-2282
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9646453
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11040506
FL
Other
Enumeration date
05/12/2025
Last updated
07/09/2025
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