Organization Active NPI

Medical Advance Pharma Group Corp

  • Obstetrics & Gynecology Physician
  • Riverview, FL
National Provider Identifier
1073483822
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MEDICAL ADVANCE PHARMA GROUP CORP
Practice address
10531 Bloomingdale Ridge Dr Ste D
Riverview, FL 33578-5153
Phone
(888) 613-5393
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Dr. Albert Dec, DR
Title
Director
Phone
(888) 613-5393

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Drama TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 101200000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

10531 Bloomingdale Ridge Dr Ste D
Riverview, FL 33578-5153

Mailing address

10531 Bloomingdale Ridge Dr Ste D
Riverview, FL 33578-5153
Phone (888) 613-5393

Other practice location 1

6922 Hollywood Blvd Ste 800
Los Angeles, CA 90028-6117
Phone (888) 613-5393

National Provider Directory

National Provider Directory

Locations

6922 Hollywood Blvd
Ste 800
Los Angeles, CA 90028
Phone (888) 613-5393

10531 Bloomingdale Ridge Dr
Ste D
Riverview, FL 33578
Phone (888) 613-5393

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1073483822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 BLOOMINGDALE RIDGE DR STE D",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785153",
            "telephone_number": "888-613-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 BLOOMINGDALE RIDGE DR STE D",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785153",
            "telephone_number": "888-613-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6922 Hollywood Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286117",
            "country_code": "US",
            "telephone_number": "888-613-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ADVANCE PHARMA GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "DEC",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-613-5393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.