Healthcare Provider Details

I. General information

NPI: 1750399135
Provider Name (Legal Business Name): AMORETTI PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 W PALMETTO PARK RD SUITE 101B
BOCA RATON FL
33433-3458
US

IV. Provider business mailing address

7301 W PALMETTO PARK RD SUITE 101B
BOCA RATON FL
33433-3458
US

V. Phone/Fax

Practice location:
  • Phone: 561-393-8448
  • Fax: 561-392-5802
Mailing address:
  • Phone: 561-393-8448
  • Fax: 561-392-5802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME43736
License Number StateFL

VIII. Authorized Official

Name: DR. ALEJANDRO F AMORETTI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-393-8448