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Find providers by NPI
Organization

ADVANCED MEDICAL PROVIDER INC

Active
Other names
ADVANCED MEDICAL PROVIDERS
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JESSY MADHUKAR NP (PRESIDENT)
(954) 600-8994
Entity
Organization

Contact information

Practice address
1560 SAWGRASS CORPORATE PKWY FL 4, SUNRISE, FL 33323-2855
(954) 600-8994
Mailing address
11510 SW 2ND ST, PLANTATION, FL 33325-2922
(954) 600-8994

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
261Q00000X
Clinic/Center
302F00000X
Exclusive Provider Organization

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073520565
FL
05
1093700346
FL
05
1104080092
FL
05
1144234857
HI
05
1225233521
FL
01
123
N/A
05
1285743799
FL
05
1447629027
FL
05
1811979123
FL
Enumeration date
01/02/2023
Last updated
01/02/2023
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