Individual
AMANDA DAVIS DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
235 E PRINCETON ST STE 200, ORLANDO, FL 32804-5555
(407) 303-1444
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DOS-2293
HI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
UO8854
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
03/25/2019
Last updated
05/25/2023
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