Healthcare Provider Details

I. General information

NPI: 1245303205
Provider Name (Legal Business Name): MS. AMANDA J HUNT-RAINERI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA J HUNT

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 BEACH BLVD
JACKSONVILLE FL
32207-4764
US

IV. Provider business mailing address

570 STAFFORDSHIRE DR E
JACKSONVILLE FL
32225
US

V. Phone/Fax

Practice location:
  • Phone: 904-346-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA7924
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: