Provider Demographics
NPI:1548131907
Name:MELENDEZ MARTINEZ, AMANDA MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MARIA
Last Name:MELENDEZ MARTINEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BLUE SAGE RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-4704
Mailing Address - Country:US
Mailing Address - Phone:850-230-6023
Mailing Address - Fax:
Practice Address - Street 1:11801 PANAMA CITY BEACH PKWY
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-2509
Practice Address - Country:US
Practice Address - Phone:850-230-6023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS69443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist