Samuel Alan Amen in Bradenton - Addiction Medicine
Samuel Alan Amen - NPI 1831300995
Samuel Alan Amen is a Addiction Medicine in Bradenton, Florida. Samuel Alan Amen practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Samuel Alan Amen is 1831300995. The last update date is 2021-05-12.
Samuel Alan Amen's current location address is 100 3rd Ave W Ste 110, Bradenton, Florida. You can contact this provider via phone number 9417089555 and fax number 9417085465. The mailing address for Samuel Alan Amen is 100 3rd Ave W Ste 110, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Alan Amen |
|---|---|
| Address | 100 3rd Ave W Ste 110, Bradenton, Florida |
| Phone Number | 9417089555 |
| Fax Number | 9417085465 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831300995 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2021-05-12 |
Provider Mailing Address Detail
| Address | 100 3rd Ave W Ste 110 |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342058641 |
| Phone Number | 9417089555 |
| Fax Number | 9417085465 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 23587 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200521770A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Samuel Alan Amen by the Centers for Medicare & Medicaid Services?
The Samuel Alan Amen has been issued the NPI (National Provider Identifier) 1831300995, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Samuel Alan Amen is physically located?
The Samuel Alan Amen is physically situated at the following address: 100 3Rd Ave W Ste 110, Bradenton, FL, 342058641.
What is the Samuel Alan Amen's specialty and taxonomy code?
The Samuel Alan Amen's specialty is Addiction Medicine, and the corresponding taxonomy code is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831300995 to Samuel Alan Amen?
The Samuel Alan Amen received its 1831300995 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date were the Samuel Alan Amen's details last updated?
The information pertaining to the Samuel Alan Amen, including its address, specialty, and other details, was most recently updated on 2021-05-12.