Organization
AMEN GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDDY GASCON (AUTHORIZED OFFICIAL)
(954) 697-7477
Entity
Organization
Contact information
Practice address
3521 W BROWARD BLVD STE 107A, LAUDERHILL, FL 33312-1048
(954) 697-7477
(786) 513-0546
Mailing address
3521 W BROWARD BLVD STE 107A, LAUDERHILL, FL 33312-1048
(954) 697-7477
(786) 513-0546
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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