Organization · NPI-2

Amicus Medical Center LLC

Internal Medicine · West Palm Beach, FL

NPI number1386306306

StatusActive

Last updated in NPPESAug 19, 2024

Details

NPI: 1386306306
Entity type: Organization (NPI-2)
Legal business name: Amicus Medical Center LLC
Organization subpart: No
Enumeration date: Oct 7, 2021
Certification date: Aug 19, 2024
Last updated: Aug 19, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207Q00000X	Family Medicine	–	–
261Q00000X	Clinic/Center	–	–

Practice location

4601 N Congress Ave Ste 107
West Palm Beach, FL 33407-3381

Phone 561-844-4353

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Phone 305-500-2000

Authorized official

Jessica Marie Bonetti
Associate Director
3055002000

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