Advantage Medical Group LLC
Organization Active NPI General Practice Physician · Kissimmee, FL
NPI 1932640539 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1932640539
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- ADVANTAGE MEDICAL GROUP LLC
- Practice address
- 715 E Vine St Ste 1
Kissimmee, FL 34744-4232 - Phone
- (407) 930-1112
- Fax
- (407) 930-1114
- NPI assigned
- Mar 15, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Arcilio Alvarado, M.D
- Title
- Ceo
- Phone
- (787) 306-8356
Corporate family (same tax ID) 3
Practitioners 2
-
Briseida Munoz, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2121650 | Advantage Medical Group | Certificate of waiver | Nov 9, 2026 |
National Provider Directory
- Tax ID family
- Advantage Medical Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes | ||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
715 E Vine St Ste 1
Kissimmee, FL 34744-4232
Mailing address
715 E Vine St Ste 1
Kissimmee, FL 34744-4232
Phone (407) 930-1112
Other providers in Kissimmee, FL
- Advanced Mobile Ultrasound LLC
- Advanced Pain Clinic PA
- Advanced Pain Clinic,PA
- Advanced Physical Medicine Inc
- Advantacare of Florida, LLC
- Adventhealth Home Health and Hospice Inc
- Adventist Health System /Sunbelt, Inc.
- Adventist Health System Sunbelt, Inc
- Adventist Health System-Sunbelt Inc Adventhealth Orlando
- Adventist Health System-Sunbelt, Inc
All providers in Kissimmee, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.