Organization
ADVANCED MEDICAL THERAPY INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DISTEFANO (OWNER)
(727) 397-9118
Entity
Organization
Contact information
Practice address
6776 54TH AVE N, SUITE B, ST PETERSBURG, FL 33709-1405
(727) 397-9118
(727) 397-9440
Mailing address
6776 54TH AVE N, SUITE B, ST PETERSBURG, FL 33709-1405
(727) 397-9118
(727) 397-9440
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
06/30/2008
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