Organization
AMITY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID ASSOUAD MD (PRESIDENT)
(954) 224-5640
Entity
Organization
Contact information
Practice address
1060 SUNSET STRIP, SUNRISE, FL 33313-6106
(954) 224-5640
(954) 473-0211
Mailing address
1060 SUNSET STRIP, SUNRISE, FL 33313-6106
(954) 224-5640
(954) 473-0211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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