MS. Amanda Renea Porter, PA-C
NPI #1104853704 in Brooksville, Florida
Provider Information
- NPI Number
- 1104853704
- Entity Type
- Individual
- Name
- MS. Amanda Renea Porter, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 27, 2006
- Last Updated
- Dec 22, 2023
Practice Location
- Address
- 14555 CORTEZ BLVD
- City
- Brooksville
- State
- Florida
- ZIP Code
- 34613-6003
- Phone
- (352) 556-4823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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