AMANDA DITTMER


Address: 3191 Harbor Blvd Ste B, Port Charlotte, FL 33952-6755
Phone: 9418834518

AMANDA DITTMER (NPI# 1134572274) 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) 1134572274
Entity Type Individual
Full Name AMANDA DITTMER
Credential APRN
Practice Address 3191 Harbor Blvd Ste B
Port Charlotte
FL 33952-6755
Mailing Address 6360 Techster Blvd Ste 1
Fort Myers
FL 33966-4805
Practice Telephone 9418834518
Mailing Telephone 2392368784
Enumeration Date 2016-07-13
Last Update Date 2019-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
APRN9268426 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN9268426 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 100028500 05

Office Location

Street Address 3191 HARBOR BLVD STE B
City PORT CHARLOTTE
State FL
Zip Code 33952-6755

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700486552 Arrow Medical LLC Durable Medical Equipment & Medical Supplies 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 2020-10-30
1376009621 David Alan Mowry Massage Therapist 3148 Whiting Lane, Port Charlotte, FL 33952 2019-02-12
1124527189 Aegis Group Practice, LLC Physical Therapist 2500 Aaron Street, Port Charlotte, FL 33952 2018-02-06
1255856118 All Powered Mobility, LLC Durable Medical Equipment & Medical Supplies 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 2017-08-11
1366994915 Julianne Kumar Physical Medicine & Rehabilitation 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 2016-10-31
1659729549 The Gathering Place LLC Licensed Practical Nurse 3459 Depew Ave, Port Charlotte, FL 33952 2016-06-01
1003222183 Philip Lagamma Physical Therapist 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 2014-07-09
1184039695 Nathan E Shipley Driver 2338 Alton Rd., Port Charlotte, FL 33952 2014-06-23
1619318219 Nic 4 Royal Palm Leasing LLC Assisted Living Facility 2500 Aaron St., Port Charlotte, FL 33952 2013-07-11
1225306475 Tamjo Inc Hearing Instrument Specialist 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 2011-12-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295778835 Charlene Joan Rosenfield Nurse Practitioner 3782 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8308 2006-06-13
1619293180 Cohleen Marie Nottingham Nurse Practitioner 3390 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-8157 2010-04-08
1083940472 Mason S. Maulsby Nurse Practitioner 3460 Depew Ave, Allied Center for Therapy, Port Charlotte, FL 33952 2009-10-20
1922273846 Kathleen Ann Kaloski Nurse Practitioner 3782 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8308 2008-04-23
1811982473 Judith A Tiberia Nurse Practitioner 3191 Harbor Blvd Ste A, Suite A, Port Charlotte, FL 33952-6755 2005-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295336832 Marco Desouza Nurse Practitioner 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 2020-11-02
1457950107 Janet Rosemarie Walker Nurse Practitioner 9988 Sw 38th Ave, Ocala, FL 34476-4082 2020-10-23
1104425800 Vijayalakshmi Kumaraguru Nurse Practitioner 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 2020-10-22
1356940217 Smitha Ajesh Nurse Practitioner 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 2020-10-21
1457959066 Kecia Hicks Nurse Practitioner 691 Institution Rd, Defuniak Springs, FL 32433-1850 2020-10-15
1699372003 Rosie Michel Nurse Practitioner 13000 Ne 12th Ave, North Miami, FL 33161-4305 2020-10-08
1952908352 Karen Weinstock Nurse Practitioner 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 2020-10-08
1396342754 Pamela Ziel Nurse Practitioner 545 Lakeside Cir, Sunrise, FL 33326-2136 2020-10-07
1922615608 Urszula Dorfman Nurse Practitioner 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 2020-09-28
1073129136 Karen Harris Nurse Practitioner 28211 Church Rd, Brooksville, FL 34602-6232 2020-09-23
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Competitor

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City PORT CHARLOTTE
Zip Code 33952

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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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