Active NPI
Advanced Healthcare Clinic, LLC
- Acupuncturist
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2931
- Legal business name
- ADVANCED HEALTHCARE CLINIC, LLC
- Practice address
- 9114 Town Center Pkwy
Ste 101
Lakewood Ranch, FL 34202-5053 - Phone
- (941) 351-4949
- Fax
- (941) 351-3033
- NPI assigned
- Sep 14, 2011
- Last updated
- May 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mario Dube, D.O.M.
- Title
- Member
- Phone
- (941) 351-4949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP2931 | FL | Primary |
| Point of Service | 305S00000X | AP2931 | FL |
Addresses
Primary practice location
9114 Town Center Pkwy
Ste 101
Lakewood Ranch, FL 34202-5053
Mailing address
9114 Town Center Pkwy
Ste 101
Lakewood Ranch, FL 34202-5054
Phone (941) 351-4949
National Provider Directory
National Provider Directory- Tax ID family
- Advance Healthcare Clinic LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Acupuncturist
- University Park, FL
- NPI 1144512831
Practitioners & affiliated clinicians
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.
-
- Acupuncturist
- Lakewood Ranch, FL
- NPI 1972808103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1598047698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9114 TOWN CENTER PKWY",
"address_2": "STE 101",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342025054",
"telephone_number": "941-351-4949",
"fax_number": "941-351-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9114 TOWN CENTER PKWY",
"address_2": "STE 101",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342025053",
"telephone_number": "941-351-4949",
"fax_number": "941-351-3033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HEALTHCARE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-14",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "DUBE",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "941-351-4949",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.O.M."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2931",
"primary": true
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "FL",
"license": "AP2931",
"primary": false
}
],
"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 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.