Provider Demographics
NPI:1851775985
Name:AMERICAN MANAGEMENT SERVICE ORGANIZATION LLC
Entity Type:Organization
Organization Name:AMERICAN MANAGEMENT SERVICE ORGANIZATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-792-0555
Mailing Address - Street 1:21550 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 133
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-792-0555
Mailing Address - Fax:305-792-0557
Practice Address - Street 1:21550 BISCAYNE BLVD
Practice Address - Street 2:SUITE 133
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1261
Practice Address - Country:US
Practice Address - Phone:305-792-0555
Practice Address - Fax:305-792-0557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOFFER HEART INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty