| Advanced Health Care Physical Medicine,llc | |
|
801 W Granada Blvd Suite 101 Ormond Beach FL 32174-8114 | |
| (386) 673-2000 | |
| (386) 673-2002 |
| Full Name | Advanced Health Care Physical Medicine,llc |
|---|---|
| Speciality | General Practice |
| Location | 801 W Granada Blvd, Ormond Beach, Florida |
| Authorized Official Name and Position | Hui Lin O'connor (OFFICE MANAGER) |
| Authorized Official Contact | 3866732000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Health Care Physical Medicine,llc 801 W Granada Blvd Suite 101 Ormond Beach FL 32174-8114 Ph: (386) 673-2000 | Advanced Health Care Physical Medicine,llc 801 W Granada Blvd Suite 101 Ormond Beach FL 32174-8114 Ph: (386) 673-2000 |
| NPI Number | 1063787331 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063787331 | NPI | - | NPPES |
| GH417A | Other | FL | MEDICAREPTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME60233 (Florida) | Primary |
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James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
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