Organization Active NPI

Adva-Net

  • Exclusive Provider Organization
  • Lakewood Ranch, FL
National Provider Identifier
1174868004
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
ADVA-NET
Practice address
6920 Professional Pkwy E
Lakewood Ranch, FL 34240-8414
Phone
(941) 313-3300
Fax
(941) 313-3405
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Matthew Imes
Title
President
Phone
(855) 544-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

6920 Professional Pkwy E
Lakewood Ranch, FL 34240-8414

Mailing address

6920 Professional Pkwy E
Lakewood Ranch, FL 34240-8414
Phone (941) 313-3300

National Provider Directory

National Provider Directory
Tax ID family
Adva-Net2 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

6920 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 313-3300

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1174868004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PROFESSIONAL PKWY E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-313-3300",
            "fax_number": "941-313-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PROFESSIONAL PKWY E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-313-3300",
            "fax_number": "941-313-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVA-NET",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "IMES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-544-5636"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.