# MEDICAL ADVANCE PHARMA GROUP CORP

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

## Provider details

- **NPI number:** 1073483822
- **Authorized official:** DR. ALBERT DEC DR (DIRECTOR)
- **Authorized official phone:** (888) 613-5393

## Contact information

- **Practice address:** 10531 BLOOMINGDALE RIDGE DR STE D, RIVERVIEW, FL 33578-5153
- **Practice address phone:** (888) 613-5393
- **Mailing address:** 10531 BLOOMINGDALE RIDGE DR STE D, RIVERVIEW, FL 33578-5153
- **Mailing address phone:** (888) 613-5393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101200000X | Drama Therapist | — | NULL | — |
| 101200000X | Drama Therapist | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 11/07/2025
- **Last updated:** 11/07/2025