DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA LYNNE FAGAN, D.O

Active

AMANDA LYNNE FAGAN, D.O is a Family Medicine healthcare provider located in ORLANDO, Florida. NPI 1245617802 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ORLANDO, FL

Registration Details

NPI Number
1245617802
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2015 (11.261865302096 yrs)
Last Updated
Feb 3, 2021
Licenses
DO2319 (NV)
SL1068 (NV)
OS17191 (FL)

Practice Information

Address
4613 S ORANGE BLOSSOM TRL
ORLANDO, FL, 328391705
Browse FL providers · Browse ZIP 32839
Phone
4072329833
Fax
4072329829
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in ORLANDO, FL

Name Credential NPI
MICHAEL J KERKES MD 1316943905
CARMINE GIPSON MD 1649278979
ALEXANDER FISHBERG MD 1225038391
MR. EDSEL J COMENENCIA MD 1942201561
MRS. NEMA C ORIEL-COMENENCIA MD 1184625675
ARTHUR L. HALL M.D. 1093717613
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.