ADVANCE HEALTH MEDICAL CLINIC, INC. (NPI# 1245317023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245317023 |
| Entity Type | Organization |
| Organization Name | ADVANCE HEALTH MEDICAL CLINIC, INC. |
| Other Organization Name | ADVANCE HEALTH MEDICAL CLINIC, INC |
| Practice Address |
2040 N.e 163 Street Suite 206 North Miami FL 33068 |
| Mailing Address |
2040 N. E 163 Street Suite 206 North Miami FL 33163 |
| Practice Telephone | 3054056464 |
| Practice Fax Number | 3054056461 |
| Mailing Telephone | 3054056464 |
| Mailing Fax Number | 3054056449 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HUBERT LAJEUNE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3054056461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RI0001X |
Internal Medicine Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| X | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advance Health Medical Clinic, Inc | Doing Business As Name - Organization |
| Street Address |
2040 N.E 163 STREET SUITE 206 |
| City | NORTH MIAMI |
| State | FL |
| Zip Code | 33068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710442009 | Tarj Medical Center | Clinic/Center | 175 South Sr 7, Margate, FL 33068 | 2019-01-31 |
| 1316411432 | Restful Meadows Alf LLC | Assisted Living Facility | 6800 Curry Circle, Margate, FL 33068 | 2019-01-12 |
| 1780188938 | Paola Mariel Wainberg P.a. | Dentist | 8060 W Mc Nab Rd, North Lauderdale, FL 33068 | 2018-03-22 |
| 1790136992 | Forest Spring Garden LLC | Assisted Living Facility | 7512 Sw 5th Street, North Lauderdale, FL 33068 | 2016-06-29 |
| 1679943823 | Marliz Crespo | Speech-Language Pathologist | 425 Sw 79th Ter, North Lauderdale, FL 33068 | 2015-09-30 |
| 1548654601 | Chungyikem Coney | Technician, Pathology | 5600 Sw 12 St, Apt A220, N Lauderdale, FL 33068 | 2015-03-26 |
| 1124428818 | Bridgette Dennis | Social Worker | 1633 S. State Route 7, North Lauderdale, FL 33068 | 2014-08-29 |
| 1801203534 | Jean Rick Duroseau | Nurse Practitioner | 6840 Sw 7th Place, North Lauderdale, FL 33068 | 2014-07-15 |
| 1225394505 | Love and Affectionate Alf, Inc. | Assisted Living Facility | 311 Sw 77 Terrace, North Lauderdale, FL 33068 | 2012-04-11 |
| 1710243365 | Stewart Elderly Care Services | In Home Supportive Care | 7851 Sw 10 St, A, North Lauderdale, FL 33068 | 2012-04-09 |
| Find all providers in zip 33068 | ||||
| Taxonomy Code | 207RI0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical & Laboratory Immunology |
| An internal medicine physician who specializes in clinical and laboratory immunology disease management. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A certification was, but is no longer issued by the American Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1396986741 | International Service Solutions | Internal Medicine | 7570 Nw 14th St, Suite 103, Miami, FL 33126-1700 | 2009-03-16 |
| 1952540031 | Mazalez Complete Work Inc | Internal Medicine | 8004 Nw 154th St, Suite 371, Miami Lakes, FL 33016-5814 | 2009-02-12 |
| 1174548226 | Mark Paris | Internal Medicine | 100 E Linton Blvd, Suite 203a, Delray Beach, FL 33483-3327 | 2006-07-12 |
| 1578528279 | Michael A Kolber | Internal Medicine | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-04-18 |
| City | NORTH MIAMI |
| Zip Code | 33068 |
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| 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.