MS. AMANDA RENEA PORTER


Address: 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016
Phone: 8139789700

MS. AMANDA RENEA PORTER (NPI# 1104853704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104853704
Entity Type Individual
Full Name MS. AMANDA RENEA PORTER
Credential PA-C
Practice Address 560 S Lakewood Dr Ste 101
Brandon
FL 33511-5016
Mailing Address 13020 N Telecom Pkwy
Temple Terrace
FL 33637-0925
Practice Telephone 8139789700
Practice Fax Number 8135586187
Mailing Telephone 8139789700
Mailing Fax Number 8135586187
Enumeration Date 2006-06-27
Last Update Date 2018-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9107321 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMANDA PORTER

NPI Name Taxonomy Address Enumeration
1548773146 Amanda Rose Porter Lactation Consultant, Non-RN 216 Sara Beth Dr, Brooklet, GA 30415-8212 2017-11-06
1750561924 Amanda Logan Porter Physician Assistant 726 Yorklyn Road, Suite 100, Hockessin, DE 19707-0000 2007-11-05
1528693025 Amanda Ellen Porter Behavior Technician 152 Sylvan St, Danvers, MA 01923-3558 2020-03-05
1639638729 Amanda Lynn Porter Internal Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2019-03-18
1639687395 Amanda Jo Porter Occupational Therapist 5 Doctors Park Rd, Mount Vernon, IL 62864-6224 2018-01-16
1346790029 Amanda Lynn Porter Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2016-10-06
1689127839 Amanda Lynn Porter Pharmacist 3000 Arlington Ave, Ms 1131, Toledo, OH 43614-2595 2016-07-24
1831574110 Amanda Lee Porter Chiropractor 2160 Dunn Ave, Jacksonville, FL 32218-4718 2015-07-28
1720426356 Amanda Vaughan Porter Nurse Practitioner 4075 Old Western Row Rd, Mason, OH 45040-3104 2013-06-05
1710233838 Amanda Kathleen Porter Nurse Practitioner 975 E 3rd St # 376, Chattanooga, TN 37403-2147 2012-07-26

Office Location

Street Address 560 S LAKEWOOD DR STE 101
City BRANDON
State FL
Zip Code 33511-5016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174158042 Daniel Morgan Stuart Specialist/Technologist 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 2020-03-11
1871134585 Jordan Stone Nurse Practitioner 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 2019-10-03
1699329375 Cassandra Sunisa Turchany Physician Assistant 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 2019-07-30
1467917450 Chandler Diedrich Physician Assistant 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 2019-02-05
1023591674 Annette M Frechette-lynn Physician Assistant 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 2018-09-10
1144562448 Evan Michael Loewy Orthopaedic Surgery 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 2013-03-25
1750538906 Musculoskeletal Institute Chartered Clinic/Center 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 2008-08-19
1104091933 Anjan R Shah Orthopaedic Surgery 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 2008-04-23
1225191729 Musculoskeletal Institute Chartered Prosthetic/Orthotic Supplier 560 S Lakewood Dr Ste 101, Brandon, FL 33511 2006-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295367555 Ability Beyond Measures LLC. Clinic/Center 2705 Isabella Valley Court, Brandon, FL 33511 2020-02-05
1831744655 Brandon Modern Dentistry, Pa Dentist 971 E. Bloomingdale Avenue, Brandon, FL 33511 2019-08-08
1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1841842895 Rebecca Harrelson Counselor 915 Oakfield Drive, Suite E, Brandon, FL 33511 2019-07-10
1043779713 Cheryl Diane Hart Nurse Practitioner 888 S Parsons Ave., Brandon, FL 33511 2019-03-13
1306303177 Paula J Buchwald Nurse Practitioner 888 S. Parsons Ave, Brandon, FL 33511 2019-02-27
1063993996 Ashlee Marie Shevchenko Speech-Language Pathologist 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 2018-08-28
1275023012 Ava Cares, LLC Assisted Living Facility 3005 Bell Shoals Rd., Brandon, FL 33511 2018-05-17
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
1760982987 Suresh Lama Tamang Counselor 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 2018-02-14
Find all providers in zip 33511

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548892904 Meghan Seymour Physician Assistant 510 Glensview Dr, Brandon, MS 39047-7919 2020-02-04
1699006718 Tom Patrick Timothy Physician Assistant 2149 Brandon Park Cir, Brandon, FL 33510-3946 2010-01-29
1023286606 Margaret Saunders Brown Physician Assistant 934 Oakfield Dr, Brandon, FL 33511-4950 2008-02-15
1780748368 Patrick Sean Duffy Physician Assistant 131 N Oakwood Ave Ste 135, Brandon, FL 33510 2006-12-20
1104933241 Devon Adair Bathurst Physician Assistant Brandon Regional Hospital, 119 Oakfield Dr., Brandon, FL 33511 2006-08-24
1346286143 Mark Herbert Sutherland Physician Assistant 799 Lumsden Rd., Brandon, FL 33511 2006-06-21
1396780698 Barbara Harvison Physician Assistant 1101 E Holly Blvd, Brandon, SD 57005 2006-06-19
1487628376 Tommy L Sims Physician Assistant 721 W Robertson St, Suite 102, Brandon, FL 33511-4900 2006-02-15
1619584224 Lucy Harris Physician Assistant 615 Vonderburg Dr, Brandon, FL 33511-5972 2020-09-28
1558982785 Amanda Renee Foresteire Physician Assistant 119 Oakfield Dr, Brandon, FL 33511-5779 2020-04-28
Find all providers in BRANDON

Competitor

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City BRANDON
Zip Code 33511

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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