Provider Demographics
NPI:1164719597
Name:STROBEL, AMANDA LEDBETTER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:LEDBETTER
Last Name:STROBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:JOY
Other - Last Name:LEDBETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2619
Mailing Address - Country:US
Mailing Address - Phone:850-475-4586
Mailing Address - Fax:850-475-4500
Practice Address - Street 1:1675 TRINITY DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-5708
Practice Address - Country:US
Practice Address - Phone:850-416-2280
Practice Address - Fax:850-416-2259
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-2454208000000X
MS23308208000000X
FLME1336972080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics