Organization
ADVANTAGE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR E GAINES PHARM.D.,C.A.P. (CHIEF EXECUTIVE OFFICER)
(561) 352-1587
Entity
Organization
Contact information
Practice address
901 NORTHPOINT PKWY, SUITE 302, WEST PALM BEACH, FL 33407-1951
(561) 352-1587
(561) 420-0194
Mailing address
901 NORTHPOINT PKWY, SUITE 302, WEST PALM BEACH, FL 33407-1951
(561) 352-1587
(561) 420-0194
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME55707
FL
208D00000X
General Practice Physician
ME55707
FL
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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