AMANDA ELAYNE HANEKOM

LONGWOOD, FL
NPI1699138446
Former NameAMANDA ELAYNE FARMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: FL  ME145987)
Enumeration Date2016-03-30
Last Update Date2025-10-03
Business Address
Dr. AMANDA ELAYNE HANEKOM MD
155 LANDOVER PL
LONGWOOD, FL 32750-4924
Phone number: 872-231-3162
Mailing Address
Dr. AMANDA ELAYNE HANEKOM MD
PO BOX 7410884
CHICAGO, IL 60674-0884
Phone number: 702-899-0595