Healthcare Provider Details

I. General information

NPI: 1306468632
Provider Name (Legal Business Name): DR. AMY ELIZABETH ARMADA, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NW 13TH STREET SUITE 302
BOCA RATON FL
33486-5111
US

IV. Provider business mailing address

900 NW 13TH STREET SUITE 302
BOCA RATON FL
33486-5111
US

V. Phone/Fax

Practice location:
  • Phone: 561-208-8500
  • Fax: 561-208-8600
Mailing address:
  • Phone: 561-208-8500
  • Fax: 561-208-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY ELIZABETH ARMADA
Title or Position: PRESIDENT
Credential: DO
Phone: 954-552-0760