Amen Group Corp

Organization Active NPI Non-Pharmacy Dispensing Site · Lauderhill, FL

NPI 1801736897 · NPPES record last updated Mar 30, 2026

Key facts

NPI
1801736897
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
Legal business name
AMEN GROUP CORP
Practice address
3521 W Broward Blvd Ste 107a
Lauderhill, FL 33312-1048
Phone
(954) 697-7477
Fax
(786) 513-0546
NPI assigned
Mar 30, 2026
Organization subpart
No

Authorized official

Name
Ruddy Gascon
Title
Authorized Official
Phone
(954) 697-7477

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Yes

Addresses

Primary practice location

3521 W Broward Blvd Ste 107a
Lauderhill, FL 33312-1048

Mailing address

3521 W Broward Blvd Ste 107a
Lauderhill, FL 33312-1048
Phone (954) 697-7477

Other providers in Lauderhill, FL

All providers in Lauderhill, FL · Non-Pharmacy Dispensing Site in Florida

Sources for this page

Verify at the official NPI Registry.