| Doctor Name: | AMANDA GARNER |
| NPI Number: | 1255707535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PAT9108872 |
| Business Practice Address: | 155 Crystal Beach Dr Suite 137c Destin, FL - 325413527 |
| Business Phone Number: | 8504607090 |
| Business Fax Number: | 8504607093 |
| Mailing Address: | 155 Crystal Beach Dr, Suite 137c DESTIN |
| State: | FL |
| Postal Code: | 325413527 |
| Phone Number: | 8504607090 |
| Fax Number: | 8504607093 |
| NPI Enumeration Date: | 08/20/2015 |
| NPI Last Update Date: | 08/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PAT9108872 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |