NPIMap

Organization Active NPI

Amicus Medical Center LLC

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1851053920
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMICUS MEDICAL CENTER LLC
Practice address
480 N State Road 7
Plantation, FL 33317-2834
Phone
(954) 791-9580
Fax
(954) 797-0473
NPI assigned
Oct 6, 2021
Last updated
Oct 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

480 N State Road 7
Plantation, FL 33317-2834

Mailing address

480 N State Road 7
Plantation, FL 33317-2834
Phone (954) 791-9580

National Provider Directory

National Provider Directory
Tax ID family
Amicus Medical Center LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

480 N State Road 7
Plantation, FL 33317
Phone (954) 791-9580

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1851053920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172834",
            "telephone_number": "954-791-9580",
            "fax_number": "954-797-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172834",
            "telephone_number": "954-791-9580",
            "fax_number": "954-797-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICUS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "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": "CREDENTIALING",
        "authorized_official_telephone_number": "954-505-5000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.