Organization
AMICUS MEDICAL CENTER LLC
Active
Parent organization
AMICUS MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMICUS MEDICAL GROUP, INC
Authorized official
JESSICA MARIE BONETTI (ASSOCIATE DIRECTOR)
(305) 500-2000
Entity
Organization
Contact information
Practice address
1951 NW FEDERAL HWY, STUART, FL 34994
(954) 505-5000
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/15/2011
Last updated
08/19/2024
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