Amanda Brenner MD
Family Medicine Physician in Orange Park, FL(View on Map)
Full Name
Amanda Brenner MD
NPI Number
1104445113
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/09/2020
Specialties
(Taxonomies)Name
Code
207Q00000X
208M00000X
390200000X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
License Number
ME158502
Contact
Information
Purpose
Mailing
Location
Address
2001 KINGSLEY AVE
2001 KINGSLEY AVE
City
Orange Park
Orange Park
State
FL
FL
Postal Code
32073-5148
32073-5148
Country
US
US
Telephone Number
(904) 639-2000
(904) 639-2000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/11/2024