| Advanced Health Group Inc | |
|
3970 W Flagler St Ste 201 Coral Gables FL 33134-1642 | |
| (786) 210-5740 | |
| Not Available |
| Full Name | Advanced Health Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3970 W Flagler St Ste 201, Coral Gables, Florida |
| Authorized Official Name and Position | Ivon Leon (PRESIDENT & CEO) |
| Authorized Official Contact | 7862105740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Health Group Inc 3970 W Flagler St Ste 201 Coral Gables FL 33134-1642 Ph: (786) 210-5740 | Advanced Health Group Inc 3970 W Flagler St Ste 201 Coral Gables FL 33134-1642 Ph: (786) 210-5740 |
| NPI Number | 1831791987 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Medicare PECOS PAC ID | 8527470442 |
|---|---|
| Medicare Enrollment ID | O20201218000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831791987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ernesto Matos-gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578514865 PECOS PAC ID: 5294953329 Enrollment ID: I20140902001343 |
| Provider Name | Ivon Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043724685 PECOS PAC ID: 4587925748 Enrollment ID: I20180302002149 |
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