Advanced Medical Health Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

HHC10563 Issued in FL

Legal business name

ADVANCED MEDICAL HEALTH CENTER, INC

Doing business as

Advanced Medical Health Clinic

Practice address

10920 Baymeadows Rd
Suite #27
Jacksonville, FL 32256-4570

Phone

(904) 683-6880

Fax

(850) 558-0224

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert R Case, PHD

Title

Ceo

Phone

(850) 294-8221

Specialties & licenses 1

Addresses

Other names 1

• Advanced Medical Health Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy M Belletynee, APN, FNP-C, FPA

  • Family Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1619529138
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1275083172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 BAYMEADOWS RD",
            "address_2": "SUITE #27",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564570",
            "telephone_number": "904-683-6880",
            "fax_number": "850-558-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 BAYMEADOWS RD",
            "address_2": "SUITE #27",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564570",
            "telephone_number": "904-683-6880",
            "fax_number": "850-558-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-294-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HHC10563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.