# AMICUS MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1336712678
- **Authorized official:** HERIKA MARIE ECHEVARRIA (CREDENTILAING)
- **Authorized official phone:** (954) 505-5000

## Contact information

- **Practice address:** 161 JFK DR, ATLANTIS, FL 33462-1119
- **Practice address phone:** (561) 540-1657
- **Practice address fax:** (561) 540-1659
- **Mailing address:** 1300 CONCORD TER, SUNRISE, FL 33323-2899
- **Mailing address phone:** (954) 505-5000
- **Mailing address fax:** (954) 838-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/23/2021
- **Last updated:** 10/08/2021