Advowatch LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVOWATCH LLC

Practice address

3704 Cardinal Blvd
Daytona Beach Shores, FL 32118-7301

Phone

(386) 256-2015

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Mark Nagrani, MD

Title

Ceo

Phone

(386) 315-2485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1386239028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 CARDINAL BLVD",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321187301",
            "telephone_number": "386-256-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 CARDINAL BLVD",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321187301",
            "telephone_number": "386-256-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOWATCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "NAGRANI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-315-2485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadassah Eliora Aaronson, D.O, M.P.H.
• Carol Ann Aller
• John Warner Aller
• Randa Alsaadi, PS
• Vicente Antonio Barrios
• Alyssa Madison Bradford

• Primary Care Clinic/Center in Daytona Beach Shores, FL
• Providers in Daytona Beach Shores, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.