Organization
ADVANCE HEALTHCARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO DUBE DOM (ACUPUNCTURE PHYSICIAN)
(941) 351-4949
Entity
Organization
Contact information
Practice address
8480 COOPER CREEK BOULEVARD, SUITE 102, UNIVERSITY PARK, FL 34201
(941) 351-4949
Mailing address
8480 COOPER CREEK BOULEVARD, SUITE 102, UNIVERSITY PARK, FL 34201
(941) 351-4949
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2931
FL
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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