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Contact Information

ADVANTACARE MULTI-SPECIALTY GROUP, LLC
9 PINE CONE DR
SUITE 104A
PALM COAST, FL32137-8686
 Phone: 407-539-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADVANTACARE MULTI-SPECIALTY GROUP, LLC

NPI # 1043674187
LBN Legal business name ADVANTACARE MULTI-SPECIALTY GROUP, LLC
Authorized official KERRI HERZOG - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2016
Last updated 04/05/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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