Advanced Healthcare Clinic, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2931 Issued in FL

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

Organization subpart

No

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

Specialties & licenses 2

Addresses

Tax ID family

Advance Healthcare Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advance Healthcare Clinic, LLC

  • Acupuncturist
  • University Park, FL
  • NPI 1144512831
  NPD tax ID

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": []
}

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• Acupuncturist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Acupuncturist in Florida

• 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.

Verify at the official NPI Registry.