ADVANCED MEDICAL PROVIDER INC NPI 1588377949

NPI Information

NPI: 1588377949
Provider Name: ADVANCED MEDICAL PROVIDER INC
Classification: Military Health Care Provider - 171000000X
Entity Type: Organization
Address:
1560 SAWGRASS CORPORATE PKWY FL 4
SUNRISE, FL
ZIP 33323
Phone: (954) 600-8994
Get Directions

ADVANCED MEDICAL PROVIDER INC is a military health care provider in Sunrise, FL. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. ADVANCED MEDICAL PROVIDER INC NPI is 1588377949. The provider is registered as an organization entity type.

The provider's business location address is:

1560 SAWGRASS CORPORATE PKWY FL 4
SUNRISE, FL
ZIP 33323-855
Phone: (954) 600-8994

The provider's authorized official is Jessy Madhukar .
The authorized official title is President and has the following contact phone number (954) 600-8994.

The enumeration date for this NPI number is 1/2/2023 and was last updated on 1/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	261Q00000X	Clinic/Center	No
2	302F00000X	Exclusive Provider Organization	No
3	171000000X	Military Health Care Provider	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1104080092	MEDICAID	FLORIDA
2	1144234857	MEDICAID	HAWAII
3	123	OTHER		N/A
4	1225233521	MEDICAID	FLORIDA
5	1285743799	MEDICAID	FLORIDA
6	1093700346	MEDICAID	FLORIDA
7	1811979123	MEDICAID	FLORIDA
8	1447629027	MEDICAID	FLORIDA
9	1073520565	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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