| Doctor Name: | MRS. AMANDA MARIE DAVIS |
| NPI Number: | 1194997833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P. |
| License Number: | ARNP9245892 |
| Business Practice Address: | 4964 Highway 90 Ste B Pace, FL - 325711441 |
| Business Phone Number: | 8509955858 |
| Business Fax Number: | 8509955887 |
| Mailing Address: | 5992 Berryhill Rd Ste 300, MILTON |
| State: | FL |
| Postal Code: | 325701017 |
| Phone Number: | 8506239787 |
| Fax Number: | 8506267512 |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 12/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9245892 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |