Organization
ADVANCED HEALTHCARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO DUBE D.O.M. (MEMBER)
(941) 351-4949
Entity
Organization
Contact information
Practice address
9114 TOWN CENTER PKWY, STE 101, LAKEWOOD RANCH, FL 34202-5053
(941) 351-4949
(941) 351-3033
Mailing address
9114 TOWN CENTER PKWY, STE 101, LAKEWOOD RANCH, FL 34202-5054
(941) 351-4949
(941) 351-3033
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2931
FL
305S00000X
Point of Service
AP2931
FL
Other
Enumeration date
09/14/2011
Last updated
05/29/2015
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