Amanda Dodge

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11036213 Issued in FL

Practice address

717 Imar Dr
Sun City Center, FL 33573-5368

Phone

(813) 634-3500

NPI assigned

Dec 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunshine Neurology PA

  • Neurology Physician
  • Sun City Center, FL
  • NPI 1720172604
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1497561153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 IMAR DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 IMAR DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735368",
            "telephone_number": "813-634-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-07",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11036213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Dillon, M.D.
• Rene E Disotuar Abad, MD
• Sara Jane Dobbs, LCSW
• Doc Side Audiology, LLC
• Doctors Preferred Nurse Registry II LLC
• Dr. Ronald Latronica
• Walter Joseph Drugan Jr., MD
• Ruth Ducko, PHARMD, RPH
• Tara Jo Duquette, PA-C
• Jonathan Dychko

• Nurse Practitioner in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.