MEDICARE: MRS. AMY DANIELLE MCDOWELL PA-C

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	363A00000X	Physician Assistant	PA9113999	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	:	1568051324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY DANIELLE MCDOWELL PA-C

Provider Business Mailing Address
First Line	:	PO BOX 23329
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3329
Country	:	US
Telephone Number	:	813-882-9986
Fax Number	:	410-883-0876

Provider Business Practice Location Address
First Line	:	915 CHESTNUT ST STE 200
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-5643
Country	:	US
Telephone Number	:	727-442-1917
Fax Number	:	727-219-2446

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

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	12/02/2025

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