Organization
ADVANCE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARESH R PATEL DO (PRESIDENT)
(407) 898-1451
Entity
Organization
Contact information
Practice address
1910 N ORANGE AVE, ORLANDO, FL 32804-5528
(407) 898-1451
(407) 897-8626
Mailing address
1910 N ORANGE AVE, ORLANDO, FL 32804
(407) 898-1451
(407) 897-8626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289334
AVMED
FL
01
—
34757
BCBS
FL
01
—
47487
BCBS
—
01
—
71783
BCBS
FL
Enumeration date
01/12/2006
Last updated
02/07/2025
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