Individual provider · Type 1 NPI

Amy Rutherford, PA-C

Medical Physician Assistant · New Smyrna Beach, FL

NPI number 1902281389 Active

Practice location

408 Palmetto St
New Smyrna Beach, FL 32168-7323

Fax (386) 490-8501

Mailing address

151 Southhall Ln Ste 300
Maitland, FL 32751-7172

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9108778 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1902281389

Amy Rutherford, PA-C's National Provider Identifier is 1902281389, issued on Jul 27, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Smyrna Beach, FL. The record was last updated on Jun 9, 2025.