Organization Active NPI

Amicus Medical Center LLC

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1992375281
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMICUS MEDICAL CENTER LLC
Practice address
3795 W Boynton Beach Blvd Ste D
Boynton Beach, FL 33436-4502
Phone
(561) 738-7900
Fax
(561) 369-3254
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 Administrator
Phone
(954) 505-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3795 W Boynton Beach Blvd Ste D
Boynton Beach, FL 33436-4502

Mailing address

1300 Concord Ter Ste 210
Sunrise, FL 33323-2899
Phone (954) 505-5000

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

3795 W Boynton Beach Blvd
Ste D
Vlg of Golf, FL 33436
Phone (561) 736-2000

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1992375281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CONCORD TER STE 210",
            "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": "3795 W BOYNTON BEACH BLVD STE D",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364502",
            "telephone_number": "561-738-7900",
            "fax_number": "561-369-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICUS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "HERIKA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "954-505-5000"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.