Amicus Medical Center Llc | |
1951 Nw Federal Hwy Stuart FL 34994 | |
(954) 505-5000 | |
Not Available |
Full Name | Amicus Medical Center Llc |
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Speciality | Internal Medicine |
Location | 1951 Nw Federal Hwy, Stuart, Florida |
Authorized Official Name and Position | Jessica Marie Bonetti (ASSOCIATE DIRECTOR) |
Authorized Official Contact | 3055002000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amicus Medical Center Llc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Amicus Medical Center Llc 1951 Nw Federal Hwy Stuart FL 34994 Ph: (954) 505-5000 |
NPI Number | 1033488382 |
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Provider Enumeration Date | 12/15/2011 |
Last Update Date | 08/19/2024 |
Medicare PECOS PAC ID | 0941450902 |
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Medicare Enrollment ID | O20121029000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033488382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Craig Polinsky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700824232 PECOS PAC ID: 4880590694 Enrollment ID: I20031211000646 |
Provider Name | Carmen O Partridge |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083670947 PECOS PAC ID: 8123925179 Enrollment ID: I20031217000578 |
Provider Name | Serge L Alexandre |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124078506 PECOS PAC ID: 4789583162 Enrollment ID: I20040105000665 |
Provider Name | Steven R Linzer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699707760 PECOS PAC ID: 5092616920 Enrollment ID: I20040115000122 |
Provider Name | Dean A Newton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164535241 PECOS PAC ID: 2365331154 Enrollment ID: I20040311000240 |
Provider Name | Alejandro Espaillat |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891771812 PECOS PAC ID: 6507859667 Enrollment ID: I20040405001398 |
Provider Name | Jose A Barrios |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1841297066 PECOS PAC ID: 9537157110 Enrollment ID: I20040503001333 |
Provider Name | Hubert J Cantave |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427066364 PECOS PAC ID: 6800866302 Enrollment ID: I20040730000866 |
Provider Name | Romeo Legaspi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770599201 PECOS PAC ID: 2365410966 Enrollment ID: I20040921001304 |
Provider Name | Eddie Velazquez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578544847 PECOS PAC ID: 8022072933 Enrollment ID: I20041118001147 |
Provider Name | Ginge D Brien |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831183003 PECOS PAC ID: 5597714998 Enrollment ID: I20050112000782 |
Provider Name | Tara E Levine |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306884796 PECOS PAC ID: 2860447216 Enrollment ID: I20050317001020 |
Provider Name | Daniela Mayer |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1396791968 PECOS PAC ID: 2466485701 Enrollment ID: I20060119000198 |
Provider Name | Seth A Minsky |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609929017 PECOS PAC ID: 6204843220 Enrollment ID: I20060316000359 |
Provider Name | Marta M Iglesias |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932136223 PECOS PAC ID: 2860497567 Enrollment ID: I20061003000085 |
Provider Name | Herold J Merisier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356337497 PECOS PAC ID: 0042302762 Enrollment ID: I20070824000618 |
Provider Name | Sharon A Mazzola |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154375384 PECOS PAC ID: 9133202211 Enrollment ID: I20080213000096 |
Provider Name | Mark Schor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841369683 PECOS PAC ID: 7911078118 Enrollment ID: I20080616000509 |
Provider Name | Enrique M Ciklik |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205894086 PECOS PAC ID: 8729136411 Enrollment ID: I20090507000339 |
Provider Name | Carey A Connolly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629245121 PECOS PAC ID: 5890849095 Enrollment ID: I20090824000095 |
Provider Name | Jenny M Chamblain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144427808 PECOS PAC ID: 2365598638 Enrollment ID: I20090929000286 |
Provider Name | Evelyn Nieves |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013947472 PECOS PAC ID: 6103967104 Enrollment ID: I20100113000580 |
Provider Name | Nidia L Chediak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427061712 PECOS PAC ID: 9638063712 Enrollment ID: I20101019000331 |
Provider Name | Carlos Perez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528225638 PECOS PAC ID: 3577757657 Enrollment ID: I20101102001382 |
Provider Name | Nicolette Pelliccione |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689992471 PECOS PAC ID: 0648450908 Enrollment ID: I20110203001134 |
Provider Name | Ebonee Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669753976 PECOS PAC ID: 5991977456 Enrollment ID: I20111006000244 |
Provider Name | Sara L Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710248885 PECOS PAC ID: 3870742588 Enrollment ID: I20121012000089 |
Provider Name | Natalie Noel Rabinowitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740528462 PECOS PAC ID: 3779738703 Enrollment ID: I20130225000032 |
Provider Name | Vladimir Laroche |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669505905 PECOS PAC ID: 4486545118 Enrollment ID: I20130226000623 |
Provider Name | Adriana M Velasquez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659519361 PECOS PAC ID: 6002087202 Enrollment ID: I20130306000260 |
Provider Name | Carmen C Huerta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871910950 PECOS PAC ID: 2860615143 Enrollment ID: I20140514002165 |
Provider Name | Abigail Kaczmarzewski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841511128 PECOS PAC ID: 1658597596 Enrollment ID: I20140729002213 |
Provider Name | Susan L Fischer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033308986 PECOS PAC ID: 8628298155 Enrollment ID: I20141006001786 |
Provider Name | Connie Xia Liu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659566545 PECOS PAC ID: 7810045762 Enrollment ID: I20141204002117 |
Provider Name | Joseph Je Vincent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568876191 PECOS PAC ID: 2264754076 Enrollment ID: I20141205001782 |
Provider Name | Reginald Perard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447655766 PECOS PAC ID: 8426361403 Enrollment ID: I20150720002742 |
Provider Name | David E Rosenblum Donath |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457658569 PECOS PAC ID: 9133304512 Enrollment ID: I20150807014759 |
Provider Name | Roxanne Raya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750745626 PECOS PAC ID: 7012209950 Enrollment ID: I20160713000935 |
Provider Name | Amber D Lazarus |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1679935985 PECOS PAC ID: 1658663190 Enrollment ID: I20160802001427 |
Provider Name | Diana Clyman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972970952 PECOS PAC ID: 4981998192 Enrollment ID: I20160811000764 |
Provider Name | Roxana P Viera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730140054 PECOS PAC ID: 8820080690 Enrollment ID: I20160924000230 |
Provider Name | Gaston Rafael Moran Celayes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285965871 PECOS PAC ID: 3072708791 Enrollment ID: I20161028001017 |
Provider Name | Xavier Yanez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942662218 PECOS PAC ID: 5496037509 Enrollment ID: I20170125002857 |
Provider Name | Jason Charles Cardillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316472483 PECOS PAC ID: 4183991599 Enrollment ID: I20170606000492 |
Provider Name | Carla A Blanc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750832036 PECOS PAC ID: 5991064545 Enrollment ID: I20180105001440 |
Provider Name | Rey Llanes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437666492 PECOS PAC ID: 6305109455 Enrollment ID: I20180424001606 |
Provider Name | Marie C Lafontant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770074866 PECOS PAC ID: 2062750334 Enrollment ID: I20190212000710 |
Provider Name | Victor I Francisco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508260373 PECOS PAC ID: 8921346776 Enrollment ID: I20190220002863 |
Provider Name | Melissa M Marcel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386134104 PECOS PAC ID: 8628317682 Enrollment ID: I20190308001995 |
Provider Name | Miguel De La Rua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437700093 PECOS PAC ID: 9931533395 Enrollment ID: I20191218002156 |
Provider Name | Alicia Garro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760966634 PECOS PAC ID: 7214351501 Enrollment ID: I20200720002291 |
Provider Name | Sarah Palasciano |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427672062 PECOS PAC ID: 0143645184 Enrollment ID: I20200807000202 |
Provider Name | Dayana Rodriguez Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326471772 PECOS PAC ID: 4082039953 Enrollment ID: I20200810001430 |
Provider Name | David Seinfeld |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679635759 PECOS PAC ID: 4587686175 Enrollment ID: I20200915002785 |
Provider Name | Luis Ernesto Arocha Yiong Np |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033744248 PECOS PAC ID: 3779903075 Enrollment ID: I20201026000283 |
Provider Name | Madelyn Delgado Borges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306453683 PECOS PAC ID: 7810307782 Enrollment ID: I20201104000375 |
Provider Name | Paula Da Silva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083113278 PECOS PAC ID: 9537573159 Enrollment ID: I20210122000192 |
Provider Name | Leopold Chery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881229748 PECOS PAC ID: 7911313630 Enrollment ID: I20210304000453 |
Provider Name | Carolina Orozco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043889199 PECOS PAC ID: 3779987805 Enrollment ID: I20210811001099 |
Provider Name | Alexandra Quinones |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467993915 PECOS PAC ID: 6406186659 Enrollment ID: I20210922000795 |
Provider Name | Judith Philius Alcime |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821452897 PECOS PAC ID: 8022406016 Enrollment ID: I20211025001160 |
Provider Name | Danielle Tighe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316332141 PECOS PAC ID: 7618268202 Enrollment ID: I20211122000726 |
Provider Name | Jennifer Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982281697 PECOS PAC ID: 5496149866 Enrollment ID: I20220301000523 |
Provider Name | Junique Henry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528559465 PECOS PAC ID: 4789927666 Enrollment ID: I20220406000832 |
Provider Name | Joy Monica Bouza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366950214 PECOS PAC ID: 6608254974 Enrollment ID: I20220528000269 |
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