Healthcare Provider Details

I. General information

NPI: 1417541830
Provider Name (Legal Business Name): AFFINITY GLOBAL MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 12/30/2021
Certification Date: 12/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7771 W OAKLAND PARK BLVD STE 150
SUNRISE FL
33351-6705
US

IV. Provider business mailing address

7771 W OAKLAND PARK BLVD STE 150
SUNRISE FL
33351-6705
US

V. Phone/Fax

Practice location:
  • Phone: 954-239-6600
  • Fax: 510-380-6631
Mailing address:
  • Phone: 954-239-6600
  • Fax: 510-380-6631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL STERN
Title or Position: CEO
Credential:
Phone: 510-499-9977