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1831368307

NPI Code Detail

MEDICARE: AMANDA E CARRION MD

MEDICARE: AMANDA E CARRION MD

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	208000000X	Pediatrics Physician	2010011909	MO
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	2010011909	MO
3	208000000X	Pediatrics Physician	ME119669	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831368307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA E CARRION MD

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD
Second Line	:	SUITE 800
City	:	PLANTATION
State	:	FL
Zip	:	33324-3920
Country	:	US
Telephone Number	:	954-493-6496
Fax Number	:	954-493-6726

Provider Business Practice Location Address
First Line	:	6181 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-2227
Country	:	US
Telephone Number	:	954-493-6496
Fax Number	:	954-493-6726

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

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	10/15/2019

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Directions to “ AMANDA E CARRION MD” 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.

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