Healthcare Provider Details

I. General information

NPI: 1427988179
Provider Name (Legal Business Name): AMANDA RYAN STRAUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 HOWELL BRANCH RD
WINTER PARK FL
32792-1065
US

IV. Provider business mailing address

11251 NW 51ST ST
CORAL SPRINGS FL
33076-2773
US

V. Phone/Fax

Practice location:
  • Phone: 407-270-0340
  • Fax:
Mailing address:
  • Phone: 954-999-8310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: