# ADVANCED MEDICAL CENTER GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497102685
- **Authorized official:** MS. SUSANA CASTANON (MANAGER)
- **Authorized official phone:** (305) 704-7121

## Contact information

- **Practice address:** 1350 SW 57TH AVE, SUITE 101, WEST MIAMI, FL 33144-5775
- **Practice address phone:** (305) 704-7121
- **Practice address fax:** (305) 636-4670
- **Mailing address:** 1350 SW 57TH AVE, SUITE 101, WEST MIAMI, FL 33144-5775
- **Mailing address phone:** (305) 704-7121
- **Mailing address fax:** (305) 636-4670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2016
- **Last updated:** 05/18/2016