A Advance Medical Group
Organization Active NPI General Practice Physician · Orlando, FL
NPI 1265470751 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1265470751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- A ADVANCE MEDICAL GROUP
- Practice address
- 724 Charles St
B
Orlando, FL 32808-7509 - Phone
- (407) 575-3889
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Felix R Marichal
- Title
- President
- Phone
- (407) 575-3839
Practitioners 1
-
Felix R Marichal, M.D.
National Provider Directory
Locations
724 Charles St
#B
Orlando, FL 32808
Phone (407) 575-3889
501 N Orlando Ave
Ste 219
Winter Park, FL 32789
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
724 Charles St
B
Orlando, FL 32808-7509
Mailing address
724 Charles St
B
Orlando, FL 32808-7509
Phone (407) 575-3889
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.