AMICUS PHYSICIAN SERVICES, INC. (NPI# 1740726116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740726116 |
| Entity Type | Organization |
| Organization Name | AMICUS PHYSICIAN SERVICES, INC. |
| Practice Address |
175 Villa Nueva Ave Ne Palm Bay FL 32907-2595 |
| Mailing Address |
Po Box 1983 Dalton GA 30722-1983 |
| Practice Telephone | 3219521818 |
| Mailing Telephone | 7062710100 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | DR. ZAFAR SHARAR (OWNER) |
| Authorized Official Telephone | 7724800802 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
175 VILLA NUEVA AVE NE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-2595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336165778 | Palm Bay Medical Investors, LLC | Skilled Nursing Facility | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2006-07-15 |
| 1417422288 | G&a Professional Health Services Pllc | Internal Medicine | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2018-10-09 |
| 1629554225 | Ballout International LLC | Internal Medicine | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2018-07-17 |
| 1548779580 | Samar Fawaz | Physician Assistant | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2017-09-21 |
| 1538614979 | Silversage Physician Services of Florida, Pllc | Internal Medicine | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2016-08-15 |
| 1699964734 | Rehab Medicine Associates of Brevard Pa | Physical Medicine & Rehabilitation | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2007-10-15 |
| 1942349097 | Sheryll A Bryan | Physical Medicine & Rehabilitation | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447527254 | Maritza Dotres Martinez | Internal Medicine | 6100 Minton Rd Nw Ste 102, Palm Bay, FL 32907-1900 | 2011-11-22 |
| 1629366380 | Diego Florentin Rodriguez | Internal Medicine | 5205 Babcock St Ne Ste 3, Palm Bay, FL 32905-4638 | 2011-07-15 |
| 1992865679 | Joven T. Garcia | Internal Medicine | 6080 Babcock St Se, Palm Bay, FL 32909-3921 | 2006-12-11 |
| 1285649905 | Mohammad Idrees | Internal Medicine | 1454 Bellaire Ln, Palm Bay, FL 32905 | 2006-07-30 |
| 1730137282 | Pamela Lynn Ojha | Internal Medicine | 1326 Malabar Rd Se Ste 3, Palm Bay, FL 32907-2502 | 2006-05-05 |
| 1689637258 | Robert S Watine | Internal Medicine | 5205 Babcock St Ne, Suite 3, Palm Bay, FL 32905-4638 | 2006-04-06 |
| 1780684597 | Jennifer H Brady | Internal Medicine | 820 Palm Bay Rd Ne, Ste 110, Palm Bay, FL 32905-6351 | 2005-07-22 |
| 1417422288 | G&a Professional Health Services Pllc | Internal Medicine | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2018-10-09 |
| 1629554225 | Ballout International LLC | Internal Medicine | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2018-07-17 |
| 1538614979 | Silversage Physician Services of Florida, Pllc | Internal Medicine | 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 | 2016-08-15 |
| Find all providers in PALM BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.