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NPI 1184841397 · live from the CMS NPI Registry

Amanda Jane Avila, MD

Psychiatry & Neurology, Neurology in Fort Myers, FL. National Provider Identifier 1184841397, active.

NPI record

NPI1184841397 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location11215 Metro Pkwy Ste 1, Fort Myers, FL 33966
Practice phone239-208-2212
EnumeratedApril 19, 2007
Last updatedJanuary 3, 2023
Sole proprietorNo
Other namesAmanda Thompson

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400X51225 (AZ)
Psychiatry & Neurology, Neurology2084N0400X24413 (MS)
Psychiatry & Neurology, Neurology2084N0400X292792 (NY)
Psychiatry & Neurology, Neurology2084N0400XTM00627 (TX)
Psychiatry & Neurology, Neurology2084N0400XMD60595494 (WA)
Psychiatry & Neurology, Neurology2084N0400X4301114050 (MI)
Psychiatry & Neurology, Neurology2084N0400XMD171093 (OR)
Psychiatry & Neurology, Neurology2084N0400X35.126796 (OH)
Psychiatry & Neurology, Neurology primary2084N0400XME112121 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.