Advanced Intergrated Medicine Inc | |
119 Oakfield Dr Brandon FL 33511-5779 | |
(855) 421-2733 | |
(813) 374-0491 |
Full Name | Advanced Intergrated Medicine Inc |
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Speciality | Internal Medicine |
Location | 119 Oakfield Dr, Brandon, Florida |
Authorized Official Name and Position | James C Abraham (OWNER) |
Authorized Official Contact | 8554212733 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Intergrated Medicine Inc Po Box 320848 Tampa FL 33679-2848 Ph: (855) 421-2733 | Advanced Intergrated Medicine Inc 119 Oakfield Dr Brandon FL 33511-5779 Ph: (855) 421-2733 |
NPI Number | 1164733861 |
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Provider Enumeration Date | 06/28/2010 |
Last Update Date | 08/27/2020 |
Medicare PECOS PAC ID | 9133245186 |
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Medicare Enrollment ID | O20100927001280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164733861 | NPI | - | NPPES |
274616600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME94672 (Florida) | Primary |
Provider Name | James C Abraham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467421735 PECOS PAC ID: 8426063538 Enrollment ID: I20101020001382 |
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