# AMICUS MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1992375281
- **Authorized official:** HERIKA MARIE ECHEVARRIA (CREDENTIALING ADMINISTRATOR)
- **Authorized official phone:** (954) 505-5000

## Contact information

- **Practice address:** 3795 W BOYNTON BEACH BLVD STE D, BOYNTON BEACH, FL 33436-4502
- **Practice address phone:** (561) 738-7900
- **Practice address fax:** (561) 369-3254
- **Mailing address:** 1300 CONCORD TER STE 210, SUNRISE, FL 33323-2899
- **Mailing address phone:** (954) 505-5000
- **Mailing address fax:** (954) 838-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2021
- **Last updated:** 10/06/2021