Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AMANDA RENEA PORTER, PA-C
ActiveMS. AMANDA RENEA PORTER, PA-C is a Physician Assistant healthcare provider located in BROOKSVILLE, Florida. NPI 1104853704 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BROOKSVILLE, FL
Registration Details
- NPI Number
- 1104853704
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2006 (20.091283944799 yrs)
- Last Updated
- Dec 22, 2023
- License
-
PA9107321 (FL)
Practice Information
- Address
-
14555 CORTEZ BLVDBROOKSVILLE, FL, 346136003Browse FL providers · Browse ZIP 34613
- Phone
- 3525564823
- Fax
- 3525564824
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BROOKSVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH D. GOOGE | PA-C | 1982690681 |
| MR. SEAN DOUGLAS BONNER | PA | 1639120207 |
| SHARON BRUCE | PAC | 1447266523 |
| JOHN CROGNALE | PA | 1871682955 |
| SONYA MICHELLE GOODNER | PA-C, MPH | 1487770939 |
| MRS. STACEY C AZZOLINO | PA | 1770796625 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.