Healthcare Provider Details

I. General information

NPI: 1619963428
Provider Name (Legal Business Name): AMY ELIZABETH ARMADA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
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
US

IV. Provider business mailing address

900 NW 13TH STREET SUITE 302
BOCA RATON FL
33486
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 NumberOS10558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: