Organization · NPI-2

Amen Clinics INC, Florida

Psychiatry & Neurology, Diagnostic Neuroimaging · Hollywood, FL

NPI number1063169084
StatusActive
Last updated in NPPESMar 9, 2022

Details

NPI
1063169084
Entity type
Organization (NPI-2)
Legal business name
Amen Clinics INC, Florida
Organization subpart
Yes
Enumeration date
Mar 9, 2022
Certification date
Mar 9, 2022
Last updated
Mar 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging––Yes

Practice location

200 S Park Rd Ste 140
Hollywood, FL 33021-8351

Phone 754-260-6000 · Fax 754-220-1776

Mailing address

200 S Park Rd Ste 140
Hollywood, FL 33021-8351

Phone 754-260-6000 · Fax 754-220-1776

Authorized official

Christina T Mccormick
Data System Specialist
7038804000

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