Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Brenner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104445113

Amanda Brenner, MD is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2436 University Blvd W
Jacksonville, FL 32217-2002
Phone: (904) 916-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence ME158502 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence ME158502 (FL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence ME158502 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence ME158502 (FL)

Record details

NPI number1104445113
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address2001 Kingsley Ave, Orange Park, FL 32073-5148

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