MEDICARE: AMANDA MARIA HOLT AUTONOMOUS APRN, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11033200	FL
2	363LF0000X	Family Nurse Practitioner	5005343	NC

General Provider Information

NPI Number	:	1194001545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MARIA HOLT AUTONOMOUS APRN, FNP

Provider Business Mailing Address
First Line	:	155 BARTRAM MARKET DR STE 135-185
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-4581
Country	:	US
Telephone Number	:	904-815-8353
Fax Number	:

Provider Business Practice Location Address
First Line	:	10870 US HIGHWAY 1 N UNIT 105
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-7804
Country	:	US
Telephone Number	:	904-815-8353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	04/15/2026

Similar Medicare Providers

1780541151 — CAMERON LABELLE TAYLOR PA-C
Practice Location Address:

10870 US ONE N UNIT 104
PONTE VEDRA BEACH, FL
32081-7804

Practice Phone: 904-438-2720
Practice Fax: 904-212-1711

1629022157 — DR. ALEXEI MIKHAILOVICH PRYTKOV M.D, PHD
Practice Location Address:

10870 US ONE N UNIT 104
PONTE VEDRA, FL
32081-7804

Practice Phone: 904-438-2720
Practice Fax: 904-212-1711

1114463288 — MR. IAN ALEXANDER NEUHAUS PA-C
Practice Location Address:

10870 US ONE N UNIT 104
PONTE VEDRA, FL
32081-7804

Practice Phone: 904-438-2720
Practice Fax:

1881182335 — URGENT CARE CURE LLC
Practice Location Address:

10870 US HIGHWAY 1 N UNIT 104
PONTE VEDRA, FL
32081-7804

Practice Phone: 904-438-2720
Practice Fax:

1659021145 — GEIRSA CULIQI
Practice Location Address:

10870 US ONE N UNIT 104
PONTE VEDRA BEACH, FL
32081-7804

Practice Phone: 904-438-2720
Practice Fax:

1689355869 — BLUEWATER WELLNESS CENTER
Practice Location Address:

10870 US HIGHWAY 1 N UNIT 105
PONTE VEDRA, FL
32081-7804

Practice Phone: 201-248-9609
Practice Fax:

Directions to “ AMANDA MARIA HOLT AUTONOMOUS APRN, FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.