# AMEN CLINICS INC, FLORIDA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMEN CLINICS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063169084
- **Legal business name:** AMEN CLINICS, INC
- **Authorized official:** CHRISTINA T MCCORMICK MS (DATA SYSTEM SPECIALIST)
- **Authorized official phone:** (703) 880-4000

## Contact information

- **Practice address:** 200 S PARK RD STE 140, HOLLYWOOD, FL 33021-8351
- **Practice address phone:** (754) 260-6000
- **Practice address fax:** (754) 220-1776
- **Mailing address:** 200 S PARK RD STE 140, HOLLYWOOD, FL 33021-8351
- **Mailing address phone:** (754) 260-6000
- **Mailing address fax:** (754) 220-1776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022