Healthcare Provider Details

I. General information

NPI: 1215491022
Provider Name (Legal Business Name): AMANDA GARZA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST # 6
ORLANDO FL
32804-5502
US

IV. Provider business mailing address

900 HOPE WAY MANAGED CARE
ALTAMONTE SPRINGS FL
32714-1502
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-6729
  • Fax: 407-628-2037
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP140313
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: