Provider Demographics
NPI:1851493332
Name:FENDRICH, AMY ROBIN (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:ROBIN
Last Name:FENDRICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:616 3RD KEY DR
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3806
Mailing Address - Country:US
Mailing Address - Phone:954-296-4493
Mailing Address - Fax:954-525-8218
Practice Address - Street 1:140A S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3623
Practice Address - Country:US
Practice Address - Phone:954-922-7606
Practice Address - Fax:965-922-6898
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME49706207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine