MEDICARE: DR. AMANDA PACHECO D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	OT020500	PA
2	207P00000X	Emergency Medicine Physician	OS18694	FL
3	207P00000X	Emergency Medicine Physician	OS021377	PA
4	390200000X	Student in an Organized Health Care Education/Training Program
5	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	OS18694	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255782348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA PACHECO D.O.

Provider Business Mailing Address
First Line	:	1 TAMPA GENERAL CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3571
Country	:	US
Telephone Number	:	813-844-7330
Fax Number	:

Provider Business Practice Location Address
First Line	:	7171 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2665
Country	:	US
Telephone Number	:	813-812-8365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	03/20/2026

Similar Medicare Providers

1245699156 — DEBBIE ONUKWUBE-WILSON
Practice Location Address:

7171 N DALE MABRY HWY
TAMPA, FL
33614-2665

Practice Phone: 501-442-1188
Practice Fax:

1528589140 — DR. ABDUL KAREEM KHAN MD
Practice Location Address:

7171 N DALE MABRY HWY
TAMPA, FL
33614-2665

Practice Phone: 407-303-7283
Practice Fax: 407-303-0473

1558363572 — MARIA JULIA JOCELYN DESAI MD
Practice Location Address:

7171 N DALE MABRY HWY , STE 404
TAMPA, FL
33614-2665

Practice Phone: 813-558-4900
Practice Fax: 813-558-2155

1205820842 — DR. MICHEAL B. JOHNSON D.O.
Practice Location Address:

7171 N DALE MABRY HWY
TAMPA, FL
33614-2665

Practice Phone: 317-614-9804
Practice Fax:

1740235738 — DR. LAURIE J. DE LUCA MD
Practice Location Address:

7171 N DALE MABRY HWY , STE 404
TAMPA, FL
33614-2665

Practice Phone: 813-932-1510
Practice Fax: 813-238-4378

1255450839 — CHETAN PATEL PHARM. D.
Practice Location Address:

7171 N DALE MABRY HWY
TAMPA, FL
33614-2665

Practice Phone: 813-558-8858
Practice Fax: 813-558-8071

Directions to “ DR. AMANDA PACHECO D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.