Amanda Justine Fiji, AGNP-BC
Nurse Practitioner, Primary Care in Daytona Beach, FL. Individual provider (NPI-1).
Details
- NPI
- 1972098317
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Justine Fiji
- Credential
- AGNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2018
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 9273003 | FL | Yes |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 9273003 | FL |
Practice location
303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709
Phone 386-425-8720 · Fax 386-322-4720
Mailing address
303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709
Phone 386-425-4000
Other practice locations
Port Orange, FL 32129-9626
Phone 864-254-7003
Viera, FL 32940-7983
Phone 321-806-1874 · Fax 321-806-1875
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Primary Care Nurse Practitioner providers in Daytona Beach · All 3,665 providers in Daytona Beach
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