Organization
ADVANTACARE MULTI-SPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI HERZOG (MEMBER)
(407) 539-2111
Entity
Organization
Contact information
Practice address
1040 MASON AVE, DAYTONA BEACH, FL 32117-4612
(386) 248-0107
(386) 248-0109
Mailing address
697 MAITLAND AVE, SUITE 1001, ALTAMONTE SPRINGS, FL 32701-6821
(407) 539-2111
(407) 539-1211
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/24/2016
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