NPIMap

Amicus Medical Center LLC

Organization Active NPI Family Medicine Physician · Atlantis, FL

NPI 1336712678 · NPPES record last updated Oct 8, 2021

Key facts

NPI
1336712678
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AMICUS MEDICAL CENTER LLC
Practice address
161 JFK Dr
Atlantis, FL 33462-1119
Phone
(561) 540-1657
Fax
(561) 540-1659
NPI assigned
Jul 23, 2021
Organization subpart
No

Authorized official

Name
Herika Marie Echevarria
Title
Credentilaing
Phone
(954) 505-5000

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Amicus Medical Center LLC (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Clinic/Center 261Q00000X

Addresses

Primary practice location

161 JFK Dr
Atlantis, FL 33462-1119

Mailing address

1300 Concord Ter
Sunrise, FL 33323-2899
Phone (954) 505-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2021.

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1336712678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232899",
            "telephone_number": "954-505-5000",
            "fax_number": "954-838-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JFK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-540-1657",
            "fax_number": "561-540-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICUS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "HERIKA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTILAING",
        "authorized_official_telephone_number": "954-505-5000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

All providers in Atlantis, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.