Provider Demographics
NPI:1306468632
Name:DR. AMY ELIZABETH ARMADA, PA
Entity type:Organization
Organization Name:DR. AMY ELIZABETH ARMADA, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ARMADA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-552-0760
Mailing Address - Street 1:900 NW 13TH STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-5111
Mailing Address - Country:US
Mailing Address - Phone:561-208-8500
Mailing Address - Fax:561-208-8600
Practice Address - Street 1:900 NW 13TH STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-5111
Practice Address - Country:US
Practice Address - Phone:561-208-8500
Practice Address - Fax:561-208-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106250200Medicaid