Healthcare Provider Details

I. General information

NPI: 1568051324
Provider Name (Legal Business Name): AMY DANIELLE MCDOWELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY DANIELLE BAYON PA-C

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 CHESTNUT ST STE 200
CLEARWATER FL
33756-5643
US

IV. Provider business mailing address

PO BOX 23329
NEW YORK NY
10087-3329
US

V. Phone/Fax

Practice location:
  • Phone: 727-442-1917
  • Fax: 727-219-2446
Mailing address:
  • Phone: 813-882-9986
  • Fax: 410-883-0876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9113999
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: