| Advanced Medical Provider Inc | |
|
1560 Sawgrass Corporate Pkwy Fl 4 Sunrise FL 33323-2855 | |
| (954) 600-8994 | |
| Not Available |
| Full Name | Advanced Medical Provider Inc |
|---|---|
| Speciality | Military Health Care Provider |
| Location | 1560 Sawgrass Corporate Pkwy Fl 4, Sunrise, Florida |
| Authorized Official Name and Position | Jessy Madhukar (PRESIDENT) |
| Authorized Official Contact | 9546008994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Provider Inc 11510 Sw 2nd St Plantation FL 33325-2922 Ph: (954) 600-8994 | Advanced Medical Provider Inc 1560 Sawgrass Corporate Pkwy Fl 4 Sunrise FL 33323-2855 Ph: (954) 600-8994 |
| NPI Number | 1588377949 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 01/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588377949 | NPI | - | NPPES |
| 1104080092 | Medicaid | FL | |
| 1144234857 | Medicaid | HI | |
| 123 | Other | N/A | |
| 1225233521 | Medicaid | FL | |
| 1285743799 | Medicaid | FL | |
| 1093700346 | Medicaid | FL | |
| 1811979123 | Medicaid | FL | |
| 1447629027 | Medicaid | FL | |
| 1073520565 | Medicaid | FL |
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