Healthcare Provider Details

I. General information

NPI: 1528976925
Provider Name (Legal Business Name): AMANDA CENTRONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 BELVEDERE RD STE 105
ROYAL PALM BEACH FL
33411-3608
US

IV. Provider business mailing address

9100 BELVEDERE RD STE 105
ROYAL PALM BEACH FL
33411-3608
US

V. Phone/Fax

Practice location:
  • Phone: 561-336-0994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9122164
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: