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Organization

ADVANCED HEALTH SYSTEMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN DEVINE P.T. (OWNER)
(941) 924-3022
Entity
Organization

Contact information

Practice address
4141 S TAMIAMI TRL, SUITE 18, SARASOTA, FL 34231-3600
(941) 924-3022
(941) 925-4943
Mailing address
4141 S TAMIAMI TRL, SUITE 18, SARASOTA, FL 34231-3600
(941) 924-3022
(941) 925-4943

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00202
UNIVERSAL HEALTHCARE
FL
01
0812318
AETNA HMO ONLY
FL
01
227407
AMERIGROUP
FL
01
247344
AVMED
FL
01
DEPT. OF LABOR
WORKER'S COMPENSATION
FL
01
Y907N
BCBS FACILITY GROUP
FL
Enumeration date
11/21/2006
Last updated
08/30/2007
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