# AMDA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023455615
- **Authorized official:** SHELDON GOLDBERG (CEO)
- **Authorized official phone:** (954) 444-7350

## Contact information

- **Practice address:** 2126 N FLAMINGO RD, PEMBROKE PINES, FL 33028-3501
- **Practice address phone:** (954) 437-6660
- **Practice address fax:** (954) 239-3902
- **Mailing address:** 3731 SW 144TH AVE, MIRAMAR, FL 33027-3785
- **Mailing address phone:** (954) 444-7350
- **Mailing address fax:** (954) 239-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 05/23/2013