Amanda Sharp, PA-C
Individual provider Active NPI Physician Assistant · Watersound, FL
NPI 1962224980 · NPPES record last updated Aug 29, 2026
Key facts
- NPI
- 1962224980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9119371 (FL)
- Practice address
- 180 N Watersound Pkwy
Watersound, FL 32461-7274 - Phone
- (850) 278-3551
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119371 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 30A Medical Incorporated | Current |
Accepting new patients | |
| T3 Solutions Incorporated | Past |
Accepting new patients |
Locations
4164 W County Highway 30A
Santa Rsa Bch, FL 32459
Phone (850) 622-2313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119371 | FL | Yes |
Addresses
Primary practice location
180 N Watersound Pkwy
Watersound, FL 32461-7274
Mailing address
180 N Watersound Pkwy
Watersound, FL 32461-7274
Phone (850) 278-3551
Other providers in Watersound, FL
All providers in Watersound, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.