# ADVANTAGE PRIMARY CARE, PLLC

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

## Provider details

- **NPI number:** 1871062307
- **Authorized official:** MRS. TRACY L RIDDLE APRN, DNP, FNP-BC (OWNER/PRACTITIONER)
- **Authorized official phone:** (352) 484-0422

## Contact information

- **Practice address:** 20212 E PENNSYLVANIA AVE STE B, DUNNELLON, FL 34432-6032
- **Practice address phone:** (352) 484-0422
- **Practice address fax:** (352) 484-1430
- **Mailing address:** 20212 E PENNSYLVANIA AVE STE B, DUNNELLON, FL 34432-6032
- **Mailing address phone:** (352) 484-0422
- **Mailing address fax:** (352) 484-1430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 11/14/2018