Provider Demographics
NPI:1790283208
Name:CALI, AMANDA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:CALI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:661 E ALTAMONTE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5102
Mailing Address - Country:US
Mailing Address - Phone:407-303-5191
Mailing Address - Fax:407-303-5193
Practice Address - Street 1:661 E ALTAMONTE DR STE 220
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5102
Practice Address - Country:US
Practice Address - Phone:407-303-5191
Practice Address - Fax:407-303-5193
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPAX000014274363A00000X
FLPA9110971363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant