Individual
JUAN A AMADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2901 BROADWAY, WEST PALM BEACH, FL 33407-5131
(561) 753-7487
(561) 273-2331
Mailing address
8512 TOURMALINE BLVD, BOYNTON BEACH, FL 33472-2418
(561) 573-2133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3107812
FL
363L00000X
Nurse Practitioner
95023558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002171800
—
FL
01
—
0362956-22
FAMILY PRACTICE CERTIFICATION
—
01
—
12113037
CAQH
—
01
—
3107812
FLORIDA NURSE PRACTITIONER LICENSE
FL
01
—
SP009157
PENNSYLVANIA NURSE PRACTITIONER LICENSE
PA
01
—
U2564X
MEDICARE PTAN
FL
Enumeration date
11/29/2006
Last updated
01/10/2026
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