IndividualActive
Amanda Brenner, MD
NPI 1104445113 · Geriatric Medicine (Family Medicine) Physician · Jacksonville, FL
Provider details
- NPI number
- 1104445113
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2436 University Blvd W
Jacksonville, FL 32217-2002
Phone: (904) 916-1845
Approximate (ZIP-level) locationGet directions
Mailing address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Registry dates
- Enumerated
- 2020-04-09
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.