# ADVANCE MDCARE INC

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

## Provider details

- **NPI number:** 1831640861
- **Authorized official:** YANET RODRIGUEZ FERRERA (PRESIDENT)
- **Authorized official phone:** (305) 363-2762

## Contact information

- **Practice address:** 294 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
- **Practice address phone:** (877) 632-2732
- **Practice address fax:** (305) 885-8984
- **Mailing address:** 294 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
- **Mailing address phone:** (877) 632-2732
- **Mailing address fax:** (305) 885-8984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | ME79915 | FL | — |
| 302R00000X | Health Maintenance Organization | ME79915 | FL | — |
| 305S00000X | Point of Service | ME79915 | FL | — |

## Other

- **Enumeration date:** 10/14/2016
- **Last updated:** 03/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104171200 | — | FL |
| 01 | — | 6TH5C | FLORIDA BLUE | FL |