Advanced Medical Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED MEDICAL CLINIC PA

Practice address

1236 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1602

Phone

(561) 434-1935

NPI assigned

Sep 15, 2016

Last updated

Sep 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ishan A Gunawardene, MDNPI 1265453245

Title

Owner

Phone

(561) 283-0384

Specialties & licenses 1

Addresses

Tax ID family

Advanced Medical Clinic P a2 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.

• Advanced Medical Clinic P.a

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1447413794
  NPD tax ID

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.

• Ishan A Gunawardene, M.D

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1265453245
  NPD (past) Authorized official

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1891243143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "STE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498095",
            "telephone_number": "561-434-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 ROYAL PALM BEACH BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111602",
            "telephone_number": "561-434-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "GUNAWARDENE",
        "authorized_official_first_name": "ISHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-283-0384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accr Non Medical Transportation LLC
• Action Physical Therapy, LLC
• Action Physical Therapy, LLC
• Adult Family Care of Wellington, Inc.
• Advanced Dental Innovations
• Advanced Mental Health Care Inc.
• Advanced Spine & Joint Institute Inc
• Anubha Agarwal, M.D.
• Osiris Izchell Ahuatzin, FNP-C
• Barbara Akan, RNFA

• Internal Medicine Physician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.