Doctor profile · Federal record
Dr. Amanda Lidgard, DO
Family Medicine Physician (CMS: Family Practice) · Fort Myers, FL
- NPI 1548962855
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4771 S Cleveland Ave
Fort Myers, FL 339071317
(239) 343-9800
fax (239) 343-9848 - Additional location
-
2780 Cleveland Ave Ste 709
Fort Myers, FL 339015857
(239) 343-3831 - Mailing address
-
Po Box 2147
Fort Myers, FL 339022147
Credentials & registration
- NPI registered
- March 2023 — 3 yrs on file
- Profile last updated
- February 10, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Florida #OS21655
- Medicaid
- FL #125482900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548962855. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$132
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 1 | $86.94 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $44.85 |
By nature of payment
Frequently asked questions
What is Dr. Amanda Lidgard's medical specialty?
Dr. Amanda Lidgard practices Family Medicine Physician in Fort Myers, FL.
Where does Dr. Amanda Lidgard practice?
Dr. Amanda Lidgard practices at 4771 S Cleveland Ave, Fort Myers, FL 339071317. Office phone: 2393439800.
What is Dr. Amanda Lidgard's NPI?
Dr. Amanda Lidgard's National Provider Identifier (NPI) is 1548962855, issued by NPPES.
Does Dr. Amanda Lidgard accept Medicare assignment?
Yes. Dr. Amanda Lidgard accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.