Organization · NPI-2

Amicus Medical Center LLC

Clinic/Center · Pompano Beach, FL

NPI number1831851906
StatusActive
Last updated in NPPESOct 6, 2021

Details

NPI
1831851906
Entity type
Organization (NPI-2)
Legal business name
Amicus Medical Center LLC
Organization subpart
No
Enumeration date
Oct 6, 2021
Certification date
Oct 6, 2021
Last updated
Oct 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

750 E Sample Rd
Pompano Beach, FL 33064-5144

Phone 954-943-8737 · Fax 954-943-1358

Mailing address

750 E Sample Rd
Pompano Beach, FL 33064-5144

Phone 954-943-8737 · Fax 954-943-1358

Authorized official

Herika Marie Echevarria
Credentialing
9545055000

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