Organization · NPI-2

Amicus Medical Center LLC

Family Medicine · Plantation, FL

NPI number1851053920
StatusActive
Last updated in NPPESOct 8, 2021

Details

NPI
1851053920
Entity type
Organization (NPI-2)
Legal business name
Amicus Medical Center LLC
Organization subpart
No
Enumeration date
Oct 6, 2021
Certification date
Oct 8, 2021
Last updated
Oct 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
261Q00000X Clinic/Center––

Practice location

480 N State Road 7
Plantation, FL 33317-2834

Phone 954-791-9580 · Fax 954-797-0473

Mailing address

480 N State Road 7
Plantation, FL 33317-2834

Phone 954-791-9580 · Fax 954-797-0473

Authorized official

Herika Marie Echevarria
Credentialing
9545055000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Plantation, FL