Provider Demographics
NPI:1679172068
Name:AMAZING HEALTH CARE AND SERVICES, INC
Entity type:Organization
Organization Name:AMAZING HEALTH CARE AND SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATACHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ETIENNE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:561-847-4794
Mailing Address - Street 1:1511 PROSPERITY FARMS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2046
Mailing Address - Country:US
Mailing Address - Phone:561-847-4794
Mailing Address - Fax:561-847-4574
Practice Address - Street 1:1511 PROSPERITY FARMS RD STE 100
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-2046
Practice Address - Country:US
Practice Address - Phone:561-847-4794
Practice Address - Fax:561-847-4574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-18
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty