Provider Demographics
NPI:1376933788
Name:AMD HEALTHCARE SOLUTIONS, INC
Entity type:Organization
Organization Name:AMD HEALTHCARE SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARRITY-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-958-0454
Mailing Address - Street 1:907 N PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-3107
Mailing Address - Country:US
Mailing Address - Phone:888-958-0454
Mailing Address - Fax:888-391-5519
Practice Address - Street 1:907 N PARSONS AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-3107
Practice Address - Country:US
Practice Address - Phone:888-958-0454
Practice Address - Fax:888-391-5519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-23
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0032610207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIS577AMedicare PIN