NPIMap

Organization Active NPI

Advance Healthcare Clinic, LLC

  • Acupuncturist
  • University Park, FL
National Provider Identifier
1144512831
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2931 Issued in FL
Legal business name
ADVANCE HEALTHCARE CLINIC, LLC
Practice address
8480 Cooper Creek Boulevard, Suite 102
University Park, FL 34201
Phone
(941) 351-4949
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Mario Dube, DOMNPI 1972808103
Title
Acupuncture Physician
Phone
(941) 351-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2931 FL Primary

Addresses

Primary practice location

8480 Cooper Creek Boulevard, Suite 102
University Park, FL 34201

Mailing address

8480 Cooper Creek Boulevard, Suite 102
University Park, FL 34201
Phone (941) 351-4949

National Provider Directory

National Provider Directory
Tax ID family
Advance Healthcare Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8480 Cooper Creek Blvd
Ste 102
University Park, FL 34201
Phone (941) 351-4949

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": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1144512831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 COOPER CREEK BOULEVARD, SUITE 102",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "34201",
            "telephone_number": "941-351-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 COOPER CREEK BOULEVARD, SUITE 102",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "34201",
            "telephone_number": "941-351-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HEALTHCARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "941-351-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.