Provider Demographics
NPI:1023817004
Name:URIARTE, AMANDA R (PA-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:R
Last Name:URIARTE
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:21190 WHITE OAK AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1715
Mailing Address - Country:US
Mailing Address - Phone:561-405-8325
Mailing Address - Fax:
Practice Address - Street 1:1855 VETERANS PARK DR STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0446
Practice Address - Country:US
Practice Address - Phone:239-260-1033
Practice Address - Fax:239-260-1491
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9120252363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant