# ADVANCE FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1649259144
- **Authorized official:** VARESH R PATEL DO (PRESIDENT)
- **Authorized official phone:** (407) 898-1451

## Contact information

- **Practice address:** 1910 N ORANGE AVE, ORLANDO, FL 32804-5528
- **Practice address phone:** (407) 898-1451
- **Practice address fax:** (407) 897-8626
- **Mailing address:** 1910 N ORANGE AVE, ORLANDO, FL 32804
- **Mailing address phone:** (407) 898-1451
- **Mailing address fax:** (407) 897-8626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 02/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 289334 | AVMED | FL |
| 01 | — | 34757 | BCBS | FL |
| 01 | — | 47487 | BCBS | — |
| 01 | — | 71783 | BCBS | FL |