| Advanta Health LLC | |
|
5190 Nw 167th St Ste 105 Miami Lakes FL 33014-6329 | |
| (305) 974-5380 | |
| (305) 974-5580 |
| Full Name | Advanta Health LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5190 Nw 167th St Ste 105, Miami Lakes, Florida |
| Authorized Official Name and Position | Gretel Montano (OWNER / NURSE PRACTITIONER) |
| Authorized Official Contact | 7862965234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanta Health LLC 5190 Nw 167th St Ste 105 Miami Lakes FL 33014-6329 Ph: (305) 974-5380 | Advanta Health LLC 5190 Nw 167th St Ste 105 Miami Lakes FL 33014-6329 Ph: (305) 974-5380 |
| NPI Number | 1366302960 |
|---|---|
| Provider Enumeration Date | 11/15/2025 |
| Last Update Date | 11/15/2025 |
| Certification Date | 11/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366302960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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