Organization Active NPI

Advanced Health Care Physical Medicine,LLC

  • General Practice Physician
  • Ormond Beach, FL
National Provider Identifier
1063787331
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME60233 Issued in FL
Legal business name
ADVANCED HEALTH CARE PHYSICAL MEDICINE,LLC
Practice address
801 W Granada Blvd
Suite 101
Ormond Beach, FL 32174-8114
Phone
(386) 673-2000
Fax
(386) 673-2002
NPI assigned
Mar 20, 2012
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Hui Lin O'Connor
Title
Office Manager
Phone
(386) 673-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME60233 FL Primary

Addresses

Primary practice location

801 W Granada Blvd
Suite 101
Ormond Beach, FL 32174-8114

Mailing address

801 W Granada Blvd
Suite 101
Ormond Beach, FL 32174-8114
Phone (386) 673-2000

National Provider Directory

National Provider Directory

Locations

801 W Granada Blvd
#101
Ormond Beach, FL 32174
Phone (386) 673-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1063787331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GRANADA BLVD",
            "address_2": "SUITE 101",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748114",
            "telephone_number": "386-673-2000",
            "fax_number": "386-673-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GRANADA BLVD",
            "address_2": "SUITE 101",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748114",
            "telephone_number": "386-673-2000",
            "fax_number": "386-673-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CARE PHYSICAL MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "HUI LIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-673-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME60233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.