Organization Active NPI

Amd Healthcare Solutions, Inc

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1376933788
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0032610 Issued in FL
Legal business name
AMD HEALTHCARE SOLUTIONS, INC
Practice address
907 N Parsons Ave
Brandon, FL 33510-3107
Phone
(888) 958-0454
Fax
(888) 391-5519
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Angelic McGarrity-Davis
Title
Ceo
Phone
(888) 958-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0032610 FL Primary

Addresses

Primary practice location

907 N Parsons Ave
Brandon, FL 33510-3107

Mailing address

907 N Parsons Ave
Brandon, FL 33510-3107
Phone (888) 958-0454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161027000630 FL Part B Supplier - Clinic/Group Practice 9638457500 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

364 Recker Hwy
Auburndale, FL 33823

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1376933788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103107",
            "telephone_number": "888-958-0454",
            "fax_number": "888-391-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103107",
            "telephone_number": "888-958-0454",
            "fax_number": "888-391-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "MCGARRITY-DAVIS",
        "authorized_official_first_name": "ANGELIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-958-0454"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0032610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.