Organization
ADVANTIS PHYSICIAN ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON QUIRANTES (OFFICER)
(305) 898-7065
Entity
Organization
Contact information
Practice address
1405 SW 107TH AVE STE 217C, MIAMI, FL 33174-2532
(305) 898-7065
Mailing address
PO BOX 144176, CORAL GABLES, FL 33114-4176
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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