# ADVANTIS PHYSICIAN ALLIANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053769687
- **Authorized official:** MR. RAMON QUIRANTES (OFFICER)
- **Authorized official phone:** (305) 898-7065

## Contact information

- **Practice address:** 1405 SW 107TH AVE STE 217C, MIAMI, FL 33174-2532
- **Practice address phone:** (305) 898-7065
- **Mailing address:** PO BOX 144176, CORAL GABLES, FL 33114-4176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2016
- **Last updated:** 05/24/2016