AMANDA LYNN PORTER


Address: 4500 San Pablo Rd S, Jacksonville, FL 32224-1865
Phone: 9049532000

AMANDA LYNN PORTER (NPI# 1639638729) 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) 1639638729
Entity Type Individual
Full Name AMANDA LYNN PORTER
Credential MD
Practice Address 4500 San Pablo Rd S
Jacksonville
FL 32224-1865
Practice Telephone 9049532000
Mailing Telephone 9049532000
Enumeration Date 2019-03-18
Last Update Date 2020-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine TRN29276 FL Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
TRN29276 FL Allopathic & Osteopathic Physicians

Other Providers AMANDA PORTER

NPI Name Taxonomy Address Enumeration
1548773146 Amanda Rose Porter Lactation Consultant, Non-RN 216 Sara Beth Dr, Brooklet, GA 30415-8212 2017-11-06
1750561924 Amanda Logan Porter Physician Assistant 726 Yorklyn Road, Suite 100, Hockessin, DE 19707-0000 2007-11-05
1104853704 Amanda Renea Porter Physician Assistant 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 2006-06-27
1528693025 Amanda Ellen Porter Behavior Technician 152 Sylvan St, Danvers, MA 01923-3558 2020-03-05
1639687395 Amanda Jo Porter Occupational Therapist 5 Doctors Park Rd, Mount Vernon, IL 62864-6224 2018-01-16
1346790029 Amanda Lynn Porter Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2016-10-06
1689127839 Amanda Lynn Porter Pharmacist 3000 Arlington Ave, Ms 1131, Toledo, OH 43614-2595 2016-07-24
1831574110 Amanda Lee Porter Chiropractor 2160 Dunn Ave, Jacksonville, FL 32218-4718 2015-07-28
1720426356 Amanda Vaughan Porter Nurse Practitioner 4075 Old Western Row Rd, Mason, OH 45040-3104 2013-06-05
1710233838 Amanda Kathleen Porter Nurse Practitioner 975 E 3rd St # 376, Chattanooga, TN 37403-2147 2012-07-26

Office Location

Street Address 4500 SAN PABLO RD S
City JACKSONVILLE
State FL
Zip Code 32224-1865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891799136 Richard Clarke Agnew Thoracic Surgery (Cardiothoracic Vascular Surgery) 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2005-06-01
1427657964 Brianna Iannarelli Nurse Anesthetist, Certified Registered 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-24
1538768981 Heather Anne Dahlen Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-17
1578161717 Szilvia Fortner Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-10
1265049464 Carolyn Gonzalez Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-09-30
1467065748 Ifeloluwa A Olutola Family Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1366055568 Krina Dipak Vyas Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1356954911 Haleigh Diane Shelton Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-24
1215548805 Victoria Zeilinger Reams Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-16
1558971382 Rachel Marie Hannon Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285138495 Yulia Salamatova Psychiatry & Neurology 580 W 8th St # T17, Jacksonville, FL 32209-6533 2018-03-21
1619471018 William Joseph Scharpf Psychiatry & Neurology 653-1 West 8th Street, L18, 4th Floor, Lrc, Jacksonville, FL 32209 2018-03-20
1184155616 Kyle Wuthrich Psychiatry & Neurology 580 W 8th St Fl 9, Jacksonville, FL 32209-6533 2017-03-26
1932511235 Shannon Laboy Psychiatry & Neurology 580 W 8th St # T1-9t17, Jacksonville, FL 32209-6533 2014-05-21
1174933147 Caitlin E D'souza Psychiatry & Neurology 14540 Old Saint Augustine Rd Ste 216, Jacksonville, FL 32258-7418 2014-04-30
1235416322 Benjamin E Moore Md Pa Psychiatry & Neurology 2 Shircliff Way Ste 925, Jacksonville, FL 32204-4711 2011-11-03
1598995599 Baptist Neurology Inc Psychiatry & Neurology 3563 Phillips Hwy Ste 106a, Jacksonville, FL 32207-5663 2009-07-24
1316104722 Candice Waked Riggeal Psychiatry & Neurology 841 Prudential Dr 10th Floor, Jacksonville, FL 32207-8329 2008-05-22
1508089194 James Gordon Creveling Jr Psychiatry & Neurology 7842 Monterey Bay Dr, Jacksonville, FL 32256-2936 2007-04-11
1053471987 Mark K Emas Psychiatry & Neurology 4085 University Blvd South, # 3, Jacksonville, FL 32216 2006-12-11
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32224

Improve Information

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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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