Healthcare Provider Details

I. General information

NPI: 1255384285
Provider Name (Legal Business Name): AMERIMED PHARMACEUTICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 PARK CENTRAL BLVD N
POMPANO BEACH FL
33064-2262
US

IV. Provider business mailing address

3625 PARK CENTRAL BLVD N
POMPANO BEACH FL
33064-2262
US

V. Phone/Fax

Practice location:
  • Phone: 954-935-6046
  • Fax: 954-935-0115
Mailing address:
  • Phone: 954-935-6046
  • Fax: 954-935-0115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN SPAW
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 954-935-0646