MEDICARE: AMANDA LYNN DAY 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	363AM0700X	Medical Physician Assistant	PA9106789	FL
2	363AM0700X	Medical Physician Assistant	PA-863	AL

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	:	1730432311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA LYNN DAY PA-C

Provider Business Mailing Address
First Line	:	2505 HARRISON AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4464
Country	:	US
Telephone Number	:	850-233-3376
Fax Number	:	850-522-8354

Provider Business Practice Location Address
First Line	:	106 WESTSIDE DR
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-1908
Country	:	US
Telephone Number	:	334-699-3376
Fax Number	:	850-522-8354

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

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	03/04/2026

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Directions to “ AMANDA LYNN DAY PA-C” Practice Location

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