Amado, Juan A

Amado, Juan A is an sole proprietor health care provider with primary practice located at 5065 State Road 7 Suite 201, Lake Worth FL 33449-4615. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Amado, Juan A can be contacted via phone (561) 753-7487.

Contact Information

Primary practice address
5065 State Road 7 Suite 201 Lake Worth FL 33449-4615
Phone: (561) 753-7487
Fax: (561) 273-2331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3107812 Florida

Profile Details

NPI number 1346317856
LBN Legal business name Amado, Juan A
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Feb 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346317856 NPPES
Florida Other U2564X MEDICARE PTAN
Florida Other 3107812 MEDICARE PTAN
Florida Other SP009157 MEDICARE PTAN
Florida Other 0362956-22 MEDICARE PTAN
Florida MEDICAID 002171800 MEDICARE PTAN
Florida Other 12113037 MEDICARE PTAN

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