Organization · NPI-2
Amicus Medical Center LLC
Internal Medicine · Pompano Beach, FL
NPI number1366104382
StatusActive
Last updated in NPPESOct 8, 2021
Details
- NPI
- 1366104382
- Entity type
- Organization (NPI-2)
- Legal business name
- Amicus Medical Center LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2021
- Certification date
- Oct 8, 2021
- Last updated
- Oct 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
321 W Atlantic Blvd Ste 102Pompano Beach, FL 33060-6048
Phone 954-781-3122
Mailing address
321 W Atlantic Blvd Ste 102Pompano Beach, FL 33060-6048
Phone 954-781-3122
Authorized official
Herika Marie Echevarria
Credentialing
9545055000
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