Organization
AMICUS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERIKA MARIE ECHEVARRIA (CREDENTIALING)
(954) 505-5000
Entity
Organization
Contact information
Practice address
480 N STATE ROAD 7, PLANTATION, FL 33317-2834
(954) 791-9580
(954) 797-0473
Mailing address
480 N STATE ROAD 7, PLANTATION, FL 33317-2834
(954) 791-9580
(954) 797-0473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/06/2021
Last updated
10/08/2021
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