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NPI Code Detail

MEDICARE: AMP GROUP, INC.

MEDICARE: AMP GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker
3103K00000XBehavior Analyst
4363LP0808XPsychiatric/Mental Health Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386092427
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMP GROUP, INC.
Provider Business Mailing Address
First Line : 2464 SW 22ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33145-3419
Country : US
Telephone Number : 305-204-9355
Fax Number : 305-640-8034
Provider Business Practice Location Address
First Line : 2464 SW 22ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33145-3419
Country : US
Telephone Number : 305-204-9355
Fax Number : 305-640-8034
Authorized Official
Title or Position : PRACTICE MANAGER
Name : LILY OQUENDO
Credential :
Telephone Number : 305-204-9355
Provider Enumeration Date : 05/31/2016
Last Update Date : 02/23/2026

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