| Amicus Physician Services, Inc. | |
|
175 Villa Nueva Ave Ne Palm Bay FL 32907-2595 | |
| (321) 952-1818 | |
| Not Available |
| Full Name | Amicus Physician Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 175 Villa Nueva Ave Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Zafar Sharar (OWNER) |
| Authorized Official Contact | 7724800802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amicus Physician Services, Inc. Po Box 1983 Dalton GA 30722-1983 Ph: (706) 271-0100 | Amicus Physician Services, Inc. 175 Villa Nueva Ave Ne Palm Bay FL 32907-2595 Ph: (321) 952-1818 |
| NPI Number | 1740726116 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 01/10/2017 |
| Medicare PECOS PAC ID | 9931483104 |
|---|---|
| Medicare Enrollment ID | O20170307001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740726116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zafar I Sharar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144376898 PECOS PAC ID: 6406830413 Enrollment ID: I20040616001408 |
| Provider Name | Tiffany M James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588089098 PECOS PAC ID: 0941427736 Enrollment ID: I20180824000815 |
| Provider Name | Lisa Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770181182 PECOS PAC ID: 9133532070 Enrollment ID: I20210113002040 |
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