# ADVANTAGE MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1932640539
- **Authorized official:** DR. ARCILIO ALVARADO M.D (CEO)
- **Authorized official phone:** (787) 306-8356

## Contact information

- **Practice address:** 715 E VINE ST STE 1, KISSIMMEE, FL 34744-4232
- **Practice address phone:** (407) 930-1112
- **Practice address fax:** (407) 930-1114
- **Mailing address:** 715 E VINE ST STE 1, KISSIMMEE, FL 34744-4232
- **Mailing address phone:** (407) 930-1112
- **Mailing address fax:** (407) 930-1114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 302R00000X | Health Maintenance Organization | — | NULL | — |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 01/22/2024