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General NPI Number Information
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NPI Number | 1104278621
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Entity Type | Individual
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Provider Name | AMANDA DAVIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 5361 NW 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33142-8035
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Country | US
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Telephone | 305-637-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 5607 NW 27TH AVE STE 1
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City | MIAMI
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State | FL
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Zip | 33142-2826
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Country | US
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Telephone | 305-805-1700
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Fax | 305-805-1715
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MT211860
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME151594
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License Number State | FL
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