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General NPI Number Information
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NPI Number | 1417623489
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Entity Type | Organization
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Legal Business Name | AMICUS MEDICAL CENTER LLC
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 1601 S CONGRESS AVE # B
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6368
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Country | US
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Telephone | 561-276-8444
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Fax | 561-276-8805
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR
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Name | JESSICA MARIE BONETTI
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Credential |
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Telephone | 305-500-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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