Provider Demographics
NPI:1831664911
Name:AMED USA LLC
Entity Type:Organization
Organization Name:AMED USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAYSA
Authorized Official - Middle Name:
Authorized Official - Last Name:REDONDO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-967-5425
Mailing Address - Street 1:12401 SW 1ST PL
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33325-2715
Mailing Address - Country:US
Mailing Address - Phone:954-967-5425
Mailing Address - Fax:
Practice Address - Street 1:12401 SW 1ST PL
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33325-2715
Practice Address - Country:US
Practice Address - Phone:954-967-5425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty