# ADVANCE HEALTH MEDICAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advance Health Medical Clinic, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245317023
- **Authorized official:** MR. HUBERT LAJEUNE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (305) 405-6461

## Contact information

- **Practice address:** 2040 N.E 163 STREET SUITE 206, NORTH MIAMI, FL 33068
- **Practice address phone:** (305) 405-6464
- **Practice address fax:** (305) 405-6461
- **Mailing address:** 2040 N. E 163 STREET SUITE 206, NORTH MIAMI, FL 33163
- **Mailing address phone:** (305) 405-6464
- **Mailing address fax:** (305) 405-6449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/11/2025