Advanced Diagnostic Solutions Inc
Organization Active NPI Nurse Practitioner · Odessa, FL
NPI 1013204577 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1013204577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ADVANCED DIAGNOSTIC SOLUTIONS INC
- Practice address
- 19902 Gunn Hwy
Odessa, FL 33556-4506 - Phone
- (727) 707-3631
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Brandon M Womack
- Title
- Ceo
- Phone
- (727) 707-3631
Other NPIs with the same Medicare PAC ID 2
Practitioners 3
-
Edward Michaelson, M.D.
-
Jose F Pascual, M.D.
-
Christine M Womack, ARNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110823000483 | FL | Part B Supplier - Clinic/Group Practice | 0143490581 |
Receives reassigned benefits from 3 practitioners Practice locations: Trinity, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | |||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
19902 Gunn Hwy
Odessa, FL 33556-4506
Mailing address
19902 Gunn Hwy
Odessa, FL 33556-4506
Phone (727) 707-3631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002AN | Other | FL | BCBS |
Other names
- allurehealth
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.