Healthcare Provider Details

I. General information

NPI: 1730166463
Provider Name (Legal Business Name): JAMES B. AMSTER
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14750 NW 44TH CT OPA LOCKA AIRPORT
OPA LOCKA FL
33054-2304
US

IV. Provider business mailing address

8037 LAKEPOINTE DR BLDG #11
PLANTATION FL
33322-5789
US

V. Phone/Fax

Practice location:
  • Phone: 305-953-2262
  • Fax:
Mailing address:
  • Phone: 954-472-7847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: