| Advanced Medical Clinic P.a | |
|
3347 State Road 7 Suite 206 Wellington FL 33449-8095 | |
| (561) 537-4820 | |
| (561) 434-3169 |
| Full Name | Advanced Medical Clinic P.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 3347 State Road 7, Wellington, Florida |
| Authorized Official Name and Position | Ishan A Gunawardene (PRESIDENT & CEO) |
| Authorized Official Contact | 5615374820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Clinic P.a 3347 State Road 7 Suite 206 Wellington FL 33467 Ph: (561) 537-4820 | Advanced Medical Clinic P.a 3347 State Road 7 Suite 206 Wellington FL 33449-8095 Ph: (561) 537-4820 |
| NPI Number | 1447413794 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 03/12/2013 |
| Medicare PECOS PAC ID | 3274553912 |
|---|---|
| Medicare Enrollment ID | O20051128000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447413794 | NPI | - | NPPES |
| 33244 | Other | FL | FL BCBS |
| DF6667 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME81674 (Florida) | Primary |
| Provider Name | Ishan A Gunawardene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265453245 PECOS PAC ID: 5092745679 Enrollment ID: I20051130000535 |
| Provider Name | Angelique P Lam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780953786 PECOS PAC ID: 1850540246 Enrollment ID: I20120928000205 |
| Provider Name | Shariffa Gunawardene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881083368 PECOS PAC ID: 3173835915 Enrollment ID: I20150707002861 |
| Provider Name | Ketty Letang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598210858 PECOS PAC ID: 7012294614 Enrollment ID: I20170509001654 |
On Call Wound Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414 Phone: 844-620-9701 Fax: 561-877-5596 | |
Affordable Medical Clinic Of Wellii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12773 Forest Hill Blvd Ste 1203, Wellington, FL 33414 Phone: 561-758-2271 | |
South Florida Center Of Gastroenterology, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414 Phone: 561-798-2425 Fax: 561-798-6356 | |
Advanced Imaging Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12794 W. Forest Hill Blvd., Suite 30, Wellington, FL 33414 Phone: 561-795-6868 Fax: 561-795-6869 | |
Western Communities Family Practice Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414 Phone: 561-793-5155 Fax: 561-793-4375 | |
Wellington Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10131 W Forest Hill Blvd, Suite 130, Wellington, FL 33414 Phone: 561-795-2878 Fax: 561-795-0464 | |
Western Communities Internal Medicine Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 Forest Hill Blvd, Suite 104, Wellington, FL 33414 Phone: 561-793-1117 Fax: 561-793-1762 |