MEDICARE: DR. AMANDA DIANE PECK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME89635	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215956750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA DIANE PECK MD

Provider Business Mailing Address
First Line	:	6055 SW BALD EAGLE DR
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8862
Country	:	US
Telephone Number	:	772-283-7523
Fax Number	:

Provider Business Practice Location Address
First Line	:	3573 SW CORPORATE PKWY
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8153
Country	:	US
Telephone Number	:	772-283-5431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	12/20/2012

Similar Medicare Providers

1639187859 — KRISTEN V WALKER M.D.
Practice Location Address:

3573 SW CORPORATE PKWY
PALM CITY, FL
34990-8153

Practice Phone: 772-283-5431
Practice Fax: 772-283-5471

1154420750 — MRS. JOAN MORRISSEY GAUTREAU ARNP
Practice Location Address:

3573 SW CORPORATE PKWY
PALM CITY, FL
34990-8153

Practice Phone: 772-283-5431
Practice Fax: 772-283-5471

1326215716 — KELLY ANN WILLIAMS LMHC
Practice Location Address:

3577 SW CORPORATE PKWY
PALM CITY, FL
34990-8153

Practice Phone: 772-220-3439
Practice Fax:

1376777284 — SANDRA L PERKINS LCSW
Practice Location Address:

3577 SW CORPORATE PKWY
PALM CITY, FL
34990-8153

Practice Phone: 772-220-3439
Practice Fax: 772-220-3484

1851527782 — ALEXANDRA JOAN CONNOR
Practice Location Address:

3577 SW CORPORATE PKWY
PALM CITY, FL
34990-8153

Practice Phone: 772-220-3439
Practice Fax:

1508197583 — MRS. JULIE ANNE MCHENRY LMHC
Practice Location Address:

3577 SW CORPORATE PKWY
PALM CITY, FL
34990-8153

Practice Phone: 772-220-3439
Practice Fax:

Directions to “ DR. AMANDA DIANE PECK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.