# AMICUS MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1417623489
- **Authorized official:** JESSICA MARIE BONETTI (ASSOCIATE DIRECTOR)
- **Authorized official phone:** (305) 500-2000

## Contact information

- **Practice address:** 1601 S CONGRESS AVE \# B, DELRAY BEACH, FL 33445-6368
- **Practice address phone:** (561) 276-8444
- **Practice address fax:** (561) 276-8805
- **Mailing address:** 6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
- **Mailing address phone:** (305) 500-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 08/19/2024