Advantgarde Impacting Lives Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANTGARDE IMPACTING LIVES INC

Practice address

375 N State Road 434 Ste 207
Altamonte Springs, FL 32714-2256

Phone

(321) 317-6199

Fax

(407) 720-3042

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fleix I Lopez, MD

Title

Owner

Phone

(321) 317-6199

Specialties & licenses 1

Addresses

Locations

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.

• Felix I Lopez Bermudez, MD

  • General Practice Physician
  • Altamonte Springs, FL
  • NPI 1356683767
  NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1184494205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 KERSLEY CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461925",
            "telephone_number": "321-317-6199",
            "fax_number": "407-720-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N STATE ROAD 434 STE 207",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142256",
            "telephone_number": "321-317-6199",
            "fax_number": "407-720-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTGARDE IMPACTING LIVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "FLEIX",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-317-6199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.