Organization
ADVANCE MDCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET RODRIGUEZ FERRERA (PRESIDENT)
(305) 363-2762
Entity
Organization
Contact information
Practice address
294 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
(877) 632-2732
(305) 885-8984
Mailing address
294 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
(877) 632-2732
(305) 885-8984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
ME79915
FL
302R00000X
Health Maintenance Organization
ME79915
FL
305S00000X
Point of Service
ME79915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104171200
—
FL
01
—
6TH5C
FLORIDA BLUE
FL
Enumeration date
10/14/2016
Last updated
03/01/2023
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