Organization Active NPI

Advanced Practice Clinic LLC

  • Clinic/Center
  • Defuniak Springs, FL
National Provider Identifier
1679743454
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OS7047 Issued in FL
Legal business name
ADVANCED PRACTICE CLINIC LLC
Practice address
1184 Circle Dr Ste B
Defuniak Springs, FL 32435-2599
Phone
(850) 892-2464
Fax
(850) 892-2138
NPI assigned
Mar 7, 2008
Last updated
Aug 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Dr. James William Howell, D.O.
Title
Owner
Phone
(850) 892-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OS7047 FL Primary

Addresses

Primary practice location

1184 Circle Dr Ste B
Defuniak Springs, FL 32435-2599

Mailing address

PO Box 184
Defuniak Springs, FL 32435-0184
Phone (850) 892-2464

National Provider Directory

National Provider Directory

Locations

1184 Circle Dr
Ste B
Defuniak Springs, FL 32435
Phone (850) 419-3801

1083 Sanders Ave
Fl Rehabilitation
Graceville, FL 32440
Phone (850) 263-4447

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.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1679743454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324350184",
            "telephone_number": "850-892-2464",
            "fax_number": "850-892-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 CIRCLE DR STE B",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324352599",
            "telephone_number": "850-892-2464",
            "fax_number": "850-892-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-892-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS7047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.