Organization
ADVANCED MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHAN A GUNAWARDENE MD (OWNER)
(561) 283-0384
Entity
Organization
Contact information
Practice address
1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411-1602
(561) 434-1935
Mailing address
3347 STATE ROAD 7, STE 206, WELLINGTON, FL 33449-8095
(561) 434-1935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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