Provider Demographics
NPI:1104181668
Name:AMERICAN MARITIME OFFICERS MEDICAL PLAN
Entity Type:Organization
Organization Name:AMERICAN MARITIME OFFICERS MEDICAL PLAN
Other - Org Name:AMO PLANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALNAN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQUIRE
Authorized Official - Phone:954-922-7428
Mailing Address - Street 1:2 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-4312
Mailing Address - Country:US
Mailing Address - Phone:954-922-7428
Mailing Address - Fax:954-926-7245
Practice Address - Street 1:2 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-4312
Practice Address - Country:US
Practice Address - Phone:954-922-7428
Practice Address - Fax:954-926-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management