Organization
ADVENT FAMILY PRACTICE, INC
Active
Other names
Advent Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD K KANKAM D.O. (PRESIDENT)
(561) 792-7484
Entity
Organization
Contact information
Practice address
1447 MEDICAL PARK BLVD, 405, WELLINGTON, FL 33414-3164
(561) 792-7484
(561) 792-7454
Mailing address
1447 MEDICAL PARK BLVD., 405, WELLINGTON, FL 33414-3164
(561) 792-7484
(561) 792-7454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BK6520806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260022600
—
FL
Enumeration date
05/10/2006
Last updated
10/25/2012
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