AMANDA HAFER (NPI# 1982015574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982015574 |
| Entity Type | Individual |
| Full Name | AMANDA HAFER |
| Credential | D.O. |
| Practice Address |
1040 River Heritage Blvd Bradenton FL 34212-6348 |
| Mailing Address |
12216 Longview Lake Cir Bradenton FL 34211-4965 |
| Practice Telephone | 9419176443 |
| Mailing Telephone | 7173725920 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS14465 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1040 RIVER HERITAGE BLVD |
| City | BRADENTON |
| State | FL |
| Zip Code | 34212-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043181 | Andrew E Burg | Family Medicine | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2005-09-19 |
| 1699189449 | Smh Physician Services Inc | Anesthesiology | 1040 River Heritage Blvd, Suite 201, Bradenton, FL 34212-6348 | 2014-06-19 |
| 1730593773 | Smh Physician Services Inc | Anesthesiology | 1040 River Heritage Blvd, Suite 202, Bradenton, FL 34212-6348 | 2014-06-18 |
| 1962700831 | Smh Physician Services Inc | Family Medicine | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2011-03-02 |
| 1952364804 | Karen Marva Bigby | Family Medicine | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2006-04-11 |
| 1164490116 | Melissa Beth Boudreaux | Physician Assistant | 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255897054 | Drexyl Eitniear | Massage Therapist | 6530 Anchor Loop, Apt. 18-207, Bradenton, FL 34212 | 2019-02-17 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1871789743 | Michael Mcconnaghy | Massage Therapist | 9904 Sr 64 East, Bradenton, FL 34212 | 2007-09-24 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1831116292 | Sheryl V Okuhara | Internal Medicine | 1854 Rye Road East, Unit E, Bradenton, FL 34212 | 2006-07-15 |
| 1326079625 | Kristin Beth Kulju | Chiropractor | 1850 Rye Rd, Bradenton, FL 34212 | 2006-07-05 |
| 1922063866 | Andrzej Kucharski | Family Medicine | 1040 River Heritage Blvd Unit 204, Bradenton, FL 34212 | 2006-04-20 |
| 1033779541 | Costco Wholesale Corporation | Hearing Aid Equipment | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| Find all providers in zip 34212 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797737 | Rhc Bradenton LLC | Family Medicine | 4502 Cortez Rd W Ste 301a, Bradenton, FL 34210-3124 | 2020-10-13 |
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1386201408 | Amado Castellon | Family Medicine | 822 62nd Street Cir E Ste 102, Bradenton, FL 34208-6208 | 2019-05-23 |
| 1316410475 | Open Access Urgent Care | Family Medicine | 1838 Rye Rd Ste 107, Bradenton, FL 34212-9038 | 2019-01-10 |
| 1699219113 | Lakewood Ranch Primary Care Associates | Family Medicine | 822 62nd Street Cir E, Suite 102, Bradenton, FL 34208-6208 | 2016-12-19 |
| 1346633708 | Cortez Knee and Sports Medicine, LLC | Family Medicine | 6203 Cortez Rd W, Bradenton, FL 34210-2602 | 2015-03-10 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1679984561 | Ofelia Alessandra Lopez | Family Medicine | 1911 83rd St Nw, Bradenton, FL 34209-9753 | 2014-05-13 |
| 1558655191 | Victor Lee Kim | Family Medicine | 8614 E State Road 70 Ste 200, Bradenton, FL 34202-3710 | 2011-05-31 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on AMANDA HAFER.
| 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.