# ADVANCE PRACTICE PRACTITIONER LLC

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

## Provider details

- **NPI number:** 1114795721
- **Authorized official:** MR. ALLISTAIR MCDONALD SMITH (CEO/PHYSICIAN ASSISTANT)
- **Authorized official phone:** (954) 993-0542

## Contact information

- **Practice address:** 8526 NEMOURS PKWY, ORLANDO, FL 32827-7752
- **Practice address phone:** (954) 993-0542
- **Mailing address:** 8526 NEMOURS PKWY, ORLANDO, FL 32827-7752
- **Mailing address phone:** (954) 993-0542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 12/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1932682432 | NA | FL |
| 05 | — | 1932682432 | — | FL |
| 01 | — | 1952884389 | NA | FL |
| 05 | — | 1952884389 | — | FL |