| Amicus Medical Center Llc | |
|
12177 Pembroke Rd Pembroke Pines FL 33025-1727 | |
| (954) 436-0555 | |
| Not Available |
| Full Name | Amicus Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12177 Pembroke Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Herika Marie Echevarria (CREDENTIALING) |
| Authorized Official Contact | 9545055000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amicus Medical Center Llc 1300 Concord Ter Sunrise FL 33323-2899 Ph: (954) 505-5000 | Amicus Medical Center Llc 12177 Pembroke Rd Pembroke Pines FL 33025-1727 Ph: (954) 436-0555 |
| NPI Number | 1538812755 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538812755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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