Provider Demographics
NPI:1437349339
Name:AMERICAN MEDICINE, INC.
Entity Type:Organization
Organization Name:AMERICAN MEDICINE, INC.
Other - Org Name:ASTHMA, ALLERGY CARE CENTER OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FATTEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-723-0334
Mailing Address - Street 1:817 S UNIVERSITY DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3309
Mailing Address - Country:US
Mailing Address - Phone:954-723-0334
Mailing Address - Fax:954-723-0807
Practice Address - Street 1:817 S UNIVERSITY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3309
Practice Address - Country:US
Practice Address - Phone:954-723-0334
Practice Address - Fax:954-723-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63504207K00000X, 2080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/ImmunologyGroup - Single Specialty