AMICUS MEDICAL CENTER LLC NPI 1851053920

NPI Information

  • NPI: 1851053920
  • Provider Name: AMICUS MEDICAL CENTER LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2062453
  • Address: 480 N STATE ROAD 7
    PLANTATION, FL
    ZIP 33317
  • Phone: (954) 791-9580

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NPI Details

AMICUS MEDICAL CENTER LLC is a family medicine in Plantation, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMICUS MEDICAL CENTER LLC NPI is 1851053920. The provider is registered as an organization entity type.

The provider's business location address is:

480 N STATE ROAD 7
PLANTATION, FL
ZIP 33317-834
Phone: (954) 791-9580
Fax: (954) 797-0473

The provider's authorized official is Herika Marie Echevarria .
The authorized official title is Credentialing and has the following contact phone number (954) 505-5000.

The CLIA number assigned to this NPI record is 10D2062453 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2021 and was last updated on 10/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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