| Advantage Family Medical Care Inc | |
|
5006 State Road 54 New Port Richey FL 34652-5908 | |
| (727) 569-7777 | |
| Not Available |
| Full Name | Advantage Family Medical Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5006 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Andrew Alexander Fetchik (VICE PRESIDEN) |
| Authorized Official Contact | 7275697777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Family Medical Care Inc Po Box 1547 Tarpon Springs FL 34688-1547 Ph: (727) 569-7777 | Advantage Family Medical Care Inc 5006 State Road 54 New Port Richey FL 34652-5908 Ph: (727) 569-7777 |
| NPI Number | 1194825588 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194825588 | NPI | - | NPPES |
| 40171 | Other | FL | BLUE CROSS BLUE SHIELD |
| RAIL ROAD MEDICARE | Other | FL | 08077651 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6553 (Florida) | Primary |
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