# ADVANCE THERAPEUTIC LLC

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

## Provider details

- **NPI number:** 1215448154
- **Authorized official:** MR. MICHAEL A SURO (PRESIDENT/CEO)
- **Authorized official phone:** (954) 388-8363

## Contact information

- **Practice address:** 6910 STIRLING RD, DAVIE, FL 33024
- **Practice address phone:** (954) 388-8363
- **Practice address fax:** (888) 363-4862
- **Mailing address:** 6910 STIRLING RD, DAVIE, FL 33024
- **Mailing address phone:** (954) 388-8363
- **Mailing address fax:** (888) 363-4862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 10/18/2017
- **Last updated:** 02/20/2018