Healthcare Provider Details

I. General information

NPI: 1982531596
Provider Name (Legal Business Name): AMANDA DENICE MCCRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 NW 39TH AVE STE 130-3589
GAINESVILLE FL
32606-7331
US

IV. Provider business mailing address

9200 NW 39TH AVE STE 130-3589
GAINESVILLE FL
32606-7331
US

V. Phone/Fax

Practice location:
  • Phone: 352-224-9127
  • Fax:
Mailing address:
  • Phone: 352-224-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: