1730166463 NPI number — JAMES B. AMSTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730166463 NPI number — JAMES B. AMSTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMSTER
Provider First Name:
JAMES
Provider Middle Name:
B.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730166463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8037 LAKEPOINTE DR
Provider Second Line Business Mailing Address:
BLDG #11
Provider Business Mailing Address City Name:
PLANTATION
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33322-5789
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-472-7847
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14750 NW 44TH CT
Provider Second Line Business Practice Location Address:
OPA LOCKA AIRPORT
Provider Business Practice Location Address City Name:
OPA LOCKA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33054-2304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-953-2262
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 247200000X , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 24720000X . This is a "COAST GUARD HS TECHNICIAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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