Provider Demographics
NPI:1043861305
Name:US AMERICAN TRIPS LLC
Entity type:Organization
Organization Name:US AMERICAN TRIPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:NUZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:954-907-8927
Mailing Address - Street 1:1920 SW 68TH AVE FL 33324
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-5023
Mailing Address - Country:US
Mailing Address - Phone:954-907-8927
Mailing Address - Fax:
Practice Address - Street 1:1920 SW 68TH AVE FL 33324
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-5023
Practice Address - Country:US
Practice Address - Phone:954-907-8927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care