MEDICARE: DR. AMIRS WEIGHT LOSS AND METABOLISM CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1336804624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. AMIRS WEIGHT LOSS AND METABOLISM CENTER

Provider Business Mailing Address
First Line	:	1250 E HALLANDALE BEACH BLVD STE 700
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4641
Country	:	US
Telephone Number	:	954-302-8161
Fax Number	:	754-345-0575

Provider Business Practice Location Address
First Line	:	1250 E HALLANDALE BEACH BLVD STE 700
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4641
Country	:	US
Telephone Number	:	786-859-6474
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ROTEM AMIR
Credential	:	MD
Telephone Number	:	954-302-8161

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	11/23/2021

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