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General NPI Number Information
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NPI Number | 1740947357
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Entity Type | Organization
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Legal Business Name | RENAN AMADOR MD
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 201 N STATE ROAD 7
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City | MARGATE
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State | FL
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Zip | 33063-4556
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Country | US
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Telephone | 305-284-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 442152
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City | MIAMI
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State | FL
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Zip | 33144-9152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RENAN AMADOR
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Credential | MD
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Telephone | 786-709-8862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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