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Organization
SOUTH FLORIDA MEDICAL CENTERS INC
Active
Organization
SOUTH FLORIDA MEDICAL CENTERS INC
Active
Parent organization
AMICUS MEDICAL CENTER
Other names
Amicus Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMICUS MEDICAL CENTER
Authorized official
MR. DAVID RODRIGUEZ (PRESIDENT)
(954) 505-5000
Entity
Organization
Contact information
Practice address
14201 W. SUNRISEBLVD, UNIT 207, SUNRISE, FL 33323
(954) 505-5000
(954) 756-4442
Mailing address
14201 W SUNRISE BLVD, UNIT 207, SUNRISE, FL 33323-3207
(954) 505-5000
(754) 200-8959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
HC9560
FL
261QP2300X
Primary Care Clinic/Center
HCC9561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260924001
—
FL
05
—
260924002
—
FL
01
—
K1476
MEDICARE
FL
01
—
K1476A
MEDICARE
FL
Enumeration date
03/05/2007
Last updated
03/06/2013
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