Provider Demographics
NPI:1598762809
Name:AMERICAN MEDICAL ASSOCIATION
Entity Type:Organization
Organization Name:AMERICAN MEDICAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CPT INFORMATION SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:-
Authorized Official - Last Name:PAVLOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RHT
Authorized Official - Phone:312-464-4723
Mailing Address - Street 1:1529 WESTERHAM LOOP
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-7155
Mailing Address - Country:US
Mailing Address - Phone:727-375-0134
Mailing Address - Fax:727-375-0134
Practice Address - Street 1:1529 WESTERHAM LOOP
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-7155
Practice Address - Country:US
Practice Address - Phone:727-375-0134
Practice Address - Fax:727-375-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty