Organization
ADVANTAGE CENTER I CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO TERRELONGE M.D (PRESIDENT)
(954) 326-1658
Entity
Organization
Contact information
Practice address
1175 NE 125TH ST STE 400, NORTH MIAMI, FL 33161-5011
(954) 326-1658
Mailing address
1175 NE 125TH ST STE 400, NORTH MIAMI, FL 33161-5011
(954) 326-1658
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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