| Advanced Medical Clinic P A | |
|
3347 State Rd7 Suite 206 Wellington FL 33449-8095 | |
| (561) 434-1935 | |
| (561) 434-3169 |
| Full Name | Advanced Medical Clinic P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 3347 State Rd7, Wellington, Florida |
| Authorized Official Name and Position | Ishan A Gunawardene (PRESIDENT & CEO) |
| Authorized Official Contact | 5614341935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Clinic P A 3347 State Road 7 Suite 206 Wellington FL 33449-8095 Ph: (561) 434-1935 | Advanced Medical Clinic P A 3347 State Rd7 Suite 206 Wellington FL 33449-8095 Ph: (561) 434-1935 |
| NPI Number | 1912005182 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912005182 | NPI | - | NPPES |
| 33244 | Other | FL | BCBS GROUP |
| DF6667 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME81674 (Florida) | Primary |
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