Amalia's Community Clinic, Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMALIA'S COMMUNITY CLINIC, CORP

Practice address

5400 S University Dr Ste 217
Davie, FL 33328-5310

Phone

(954) 900-2931

NPI assigned

Feb 19, 2022

Last updated

Feb 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lidice Gisel Carrillo Cabrera

Title

Administrator

Phone

(954) 900-2931

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1881349660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 NW 35TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472730",
            "telephone_number": "786-230-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 217",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285310",
            "telephone_number": "954-900-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALIA'S COMMUNITY CLINIC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "CARRILLO CABRERA",
        "authorized_official_first_name": "LIDICE",
        "authorized_official_middle_name": "GISEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-900-2931"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107149700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmed Alzubaidi, D.M.D
• Daisy Cabrera Amador, PH.D.
• Neilys Amador
• Amalia's Community Behavioral Management Corp
• Amalia's Community Clinic, Corp
• Amanda Cares, Inc.
• Amanda Patterson, LMHC, LLC
• Amandip Singh Sappal, O.D., P.a.
• Amazing Kiddos World Behavioral Services Corp
• Amedi Services, LLC

• Community/Behavioral Health Agency in Davie, FL
• Providers in Davie, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.