Amity Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AMITY CLINIC LLC

Practice address

1060 Sunset Strip
Sunrise, FL 33313-6106

Phone

(954) 224-5640

Fax

(954) 473-0211

NPI assigned

Feb 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Farid Assouad, MD

Title

President

Phone

(954) 224-5640

Specialties & licenses 6

Addresses

Tax ID family

Amity Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Coast Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sunrise, FL
  • NPI 1063805224
  NPD tax ID
• Florida Coast Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Sunrise, FL
  • NPI 1699011601
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1285907329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136106",
            "telephone_number": "954-224-5640",
            "fax_number": "954-473-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136106",
            "telephone_number": "954-224-5640",
            "fax_number": "954-473-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "ASSOUAD",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-224-5640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Anesthesiology of the Mid-Atlantic PC
• American Hospitalist Company PL
• American Med Plus Supplies LLC
• American Rehab Associates Inc
• Jhoanna Hizon Amio
• Amj RX Inc (Sunrise Discount Pharmacy)
• Amm Rehabilitation, LLC
• Anahi Munoz PA
• Ana M. Ancheta, CRNA
• Michael N. Ancheta, CRNA

• Internal Medicine Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.