Dobberfuhl, Amy Danielle
Dobberfuhl, Amy Danielle is an individual health care provider with primary practice located at 725 W Granada Blvd Ste 1 , Ormond Beach FL 32174-9406. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Dobberfuhl, Amy Danielle can be contacted via phone (386) 673-2770.Contact Information
Primary practice address
725 W Granada Blvd Ste 1
Ormond Beach FL 32174-9406
Phone: (386) 673-2770
Fax: (386) 673-2760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN11011710 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | C160938 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN11011710 | Florida |
Profile Details
| NPI number | 1407455017 |
|---|---|
| LBN Legal business name | Dobberfuhl, Amy Danielle |
| Credentials | APRN CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2020 |
| Last updated | Jan 22nd, 2026 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407455017 | NPPES |
| Florida | MEDICAID | 109628600 |
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