Individual
MRS. AMANDA LOUISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5142 ROGERS AVE, PORT ORANGE, FL 32127-5448
(386) 425-0600
Mailing address
5142 ROGERS AVE, PORT ORANGE, FL 32127-5448
(386) 425-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11042459
FL
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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