Organization
ADVANCE MEDICAL SPECIALTY LLC
Active
Organization
ADVANCE MEDICAL SPECIALTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEMWATTIE S JAIMANGAL DO (PRESIDENT)
(352) 633-9858
Entity
Organization
Contact information
Practice address
8550 NE 138TH LN STE 500, LADY LAKE, FL 32159-6804
(352) 633-9858
(352) 633-9870
Mailing address
18981 US HIGHWAY 441 STE 121, MOUNT DORA, FL 32757-6735
(352) 201-5949
(352) 729-2287
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS10278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021679600
—
FL
Enumeration date
07/10/2017
Last updated
06/05/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up