Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Lynne Fagan, DO

Individual provider Family Medicine Physician · NPI 1245617802

Amanda Lynne Fagan, DO is a Family Medicine Physician in Orlando, Florida. Licensed in Florida and Nevada. Registered with an NPI since 2015.

Licensed in
FL, NV
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4613 S Orange Blossom Trl
Orlando, FL 32839-1705
Phone: (407) 232-9833
Fax: (407) 232-9829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS17191 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO2319 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence SL1068 (NV)

Record details

NPI number1245617802
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

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