Provider Demographics
NPI:1922203843
Name:DARLING, AMANDA ENID (MD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ENID
Last Name:DARLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 VILLAGE BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1945
Mailing Address - Country:US
Mailing Address - Phone:561-331-8800
Mailing Address - Fax:561-331-8074
Practice Address - Street 1:560 VILLAGE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1945
Practice Address - Country:US
Practice Address - Phone:561-331-8800
Practice Address - Fax:561-331-8074
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL117472084P0800X
FLME1135572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007141500Medicaid
FL007141500Medicaid