Organization
ADVANCED MEDICAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAPAWAN PUNYANIYAMA/CASE PH.D., RN (OWNER)
(850) 656-6464
Entity
Organization
Contact information
Practice address
3015 POWELL RD, TALLAHASSEE, FL 32308-6230
(850) 656-6464
(850) 558-0224
Mailing address
PO BOX 21093, TALLAHASSEE, FL 32316-1093
(850) 656-6464
(850) 558-0224
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN 9226455
FL
Other
Enumeration date
08/08/2006
Last updated
02/05/2009
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