Advanced Health Care Physical Medicine,LLC
Organization Active NPI General Practice Physician · Ormond Beach, FL
NPI 1063787331 · NPPES record last updated Mar 27, 2013
Key facts
- NPI
- 1063787331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- ME60233 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Hui Lin O'Connor
- Title
- Office Manager
- Phone
- (386) 673-2000
Practitioners 1
-
Sarah Elizabeth Goodman, ARNP
National Provider Directory
Locations
801 W Granada Blvd
#101
Ormond Beach, FL 32174
Phone (386) 673-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | ME60233 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GH417A | Other | FL | MEDICAREPTAN |
Other providers in Ormond Beach, FL
- Elizabeth Marie Adkins
- Adolfo a. Aldape, M.D.P.a.
- Advanced Care Cardiology, PA
- Advanced Chiropractic Life Center, Inc
- Advanced Comfort Pain Control, Inc.
- Advanced Heart Group P L
- Advanced Manual Physical Therapy
- Advanced Pain Management Inc
- Advanced Pain Management Inc
- Advanced Practice Nursing Services, LLC
All providers in Ormond Beach, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.