| Advantgarde Impacting Lives Inc | |
|
375 N State Road 434 Ste 207 Altamonte Springs FL 32714-2256 | |
| (321) 317-6199 | |
| (407) 720-3042 |
| Full Name | Advantgarde Impacting Lives Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 375 N State Road 434 Ste 207, Altamonte Springs, Florida |
| Authorized Official Name and Position | Fleix I Lopez (OWNER) |
| Authorized Official Contact | 3213176199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantgarde Impacting Lives Inc 1621 Kersley Cir Lake Mary FL 32746-1925 Ph: (321) 317-6199 | Advantgarde Impacting Lives Inc 375 N State Road 434 Ste 207 Altamonte Springs FL 32714-2256 Ph: (321) 317-6199 |
| NPI Number | 1184494205 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184494205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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