IndividualActive
Amanda Gist, PA-C
NPI 1134907975 · Surgical Physician Assistant · Orlando, FL
Provider details
- NPI number
- 1134907975
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9117898 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
125 E Copeland Dr
Orlando, FL 32806-2101
Phone: (321) 841-7090
Fax: (321) 843-2267
Approximate (ZIP-level) locationGet directions
Mailing address
10507 Cypress Trail Dr
Orlando, FL 32825-5038
Additional practice locations (1)
- 1414 Kuhl AveOrlando, FL 32806-2008Phone: (321) 841-3040
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.