# ADVENT FAMILY PRACTICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advent Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982654299
- **Authorized official:** DR. EDWARD K KANKAM D.O. (PRESIDENT)
- **Authorized official phone:** (561) 792-7484

## Contact information

- **Practice address:** 1447 MEDICAL PARK BLVD, 405, WELLINGTON, FL 33414-3164
- **Practice address phone:** (561) 792-7484
- **Practice address fax:** (561) 792-7454
- **Mailing address:** 1447 MEDICAL PARK BLVD., 405, WELLINGTON, FL 33414-3164
- **Mailing address phone:** (561) 792-7484
- **Mailing address fax:** (561) 792-7454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | BK6520806 | FL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 10/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 260022600 | — | FL |