Healthcare Provider Details

I. General information

NPI: 1336804624
Provider Name (Legal Business Name): DR. AMIRS WEIGHT LOSS AND METABOLISM CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2875 NE 191ST ST STE 520
AVENTURA FL
33180-2801
US

IV. Provider business mailing address

2875 NE 191ST ST STE 520
AVENTURA FL
33180-2801
US

V. Phone/Fax

Practice location:
  • Phone: 954-302-8161
  • Fax: 786-565-3967
Mailing address:
  • Phone: 954-302-8161
  • Fax: 786-565-3967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ROTEM AMIR
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 954-302-8161