# ADVANCED HEALTHCARE CLINIC, LLC

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

## Provider details

- **NPI number:** 1598047698
- **Authorized official:** MR. MARIO DUBE D.O.M. (MEMBER)
- **Authorized official phone:** (941) 351-4949

## Contact information

- **Practice address:** 9114 TOWN CENTER PKWY, STE 101, LAKEWOOD RANCH, FL 34202-5053
- **Practice address phone:** (941) 351-4949
- **Practice address fax:** (941) 351-3033
- **Mailing address:** 9114 TOWN CENTER PKWY, STE 101, LAKEWOOD RANCH, FL 34202-5054
- **Mailing address phone:** (941) 351-4949
- **Mailing address fax:** (941) 351-3033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2931 | FL | Yes |
| 305S00000X | Point of Service | AP2931 | FL | — |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 05/29/2015