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Organization
ADVANCED HEALTH CARE PHYSICAL MEDICINE,LLC
Active
Organization
ADVANCED HEALTH CARE PHYSICAL MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HUI LIN O'CONNOR (OFFICE MANAGER)
(386) 673-2000
Entity
Organization
Contact information
Practice address
801 W GRANADA BLVD, SUITE 101, ORMOND BEACH, FL 32174-8114
(386) 673-2000
(386) 673-2002
Mailing address
801 W GRANADA BLVD, SUITE 101, ORMOND BEACH, FL 32174-8114
(386) 673-2000
(386) 673-2002
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME60233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GH417A
MEDICAREPTAN
FL
Enumeration date
03/20/2012
Last updated
03/27/2013
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