ADVANCED ADULT MEDICINE, INC


Address: 1127 Nikki View Dr, Brandon, FL 33511-4879
Phone: 8138767600

ADVANCED ADULT MEDICINE, INC (NPI# 1043723752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043723752
Entity Type Organization
Organization Name ADVANCED ADULT MEDICINE, INC
Practice Address 1127 Nikki View Dr
Brandon
FL 33511-4879
Mailing Address 1921 W Dr Martin Luther King Jr Blvd
Tampa
FL 33607-6509
Practice Telephone 8138767600
Practice Fax Number 8135337377
Enumeration Date 2017-11-16
Last Update Date 2017-11-16
Authorized Official Name DR. STANLEY R DENNISON JR. (OWNER)
Authorized Official Telephone 8138767600
Authorized Official Credential MD, MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1127 NIKKI VIEW DR
City BRANDON
State FL
Zip Code 33511-4879

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295367555 Ability Beyond Measures LLC. Clinic/Center 2705 Isabella Valley Court, Brandon, FL 33511 2020-02-05
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1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1841842895 Rebecca Harrelson Counselor 915 Oakfield Drive, Suite E, Brandon, FL 33511 2019-07-10
1043779713 Cheryl Diane Hart Nurse Practitioner 888 S Parsons Ave., Brandon, FL 33511 2019-03-13
1306303177 Paula J Buchwald Nurse Practitioner 888 S. Parsons Ave, Brandon, FL 33511 2019-02-27
1063993996 Ashlee Marie Shevchenko Speech-Language Pathologist 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 2018-08-28
1275023012 Ava Cares, LLC Assisted Living Facility 3005 Bell Shoals Rd., Brandon, FL 33511 2018-05-17
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235411000 Brandon-riverview Medical Internal Medicine 519 E Bloomingdale Ave Ste A, Brandon, FL 33511-8180 2011-09-16
1518119726 James A Plemmons Internal Medicine 615 Vonderburg Dr., Brandon, FL 33511 2008-10-21
1326203977 Meditech Medical Centers, LLC Internal Medicine 1783 S. Kings Ave., Brandon, FL 33511-6220 2008-07-23
1093978918 Shanna B Pettie Internal Medicine 106 Lake Vista Pl, Brandon, MS 39047-6384 2008-07-10
1326207382 Ron Mathew Internal Medicine 500 Vonderburg Dr Ste 215w, Brandon, FL 33511-5977 2008-06-05
1780888248 Parsons Medical Center Inc Internal Medicine 908 S Parsons Ave, Suite A, Brandon, FL 33511-6064 2007-06-11
1639397904 Todd Lee Gracen Internal Medicine 1209 Lakeside Dr, Brandon, FL 33510-4109 2007-04-23
1518011386 Express Care of Tampa Bay, Inc Internal Medicine 107 W Robertson St, Brandon, FL 33511-5111 2007-01-22
1932250131 Care Plus Walk In Clinics Internal Medicine 519a E Bloomingdale Ave, Brandon, FL 33511-8105 2007-01-15
1760552673 Anurag Reddy Kumbham Internal Medicine 500 Vonderburg Dr 102e, Cornerstone Medical Care of Brandon, Brandon, FL 33511 2006-11-08
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Competitor

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City BRANDON
Zip Code 33511

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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