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Contact Information

ADVANCED MEDICAL PRACTICE LLC
100 S CARDINAL PL
FORT PIERCE, FL34945-3482
 Phone: 772-370-1140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED MEDICAL PRACTICE LLC · (Female)

NPI # 1386142446
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2018
Last updated 01/27/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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