| Advent Family Practice | |
|
1447 Medical Park Blvd 405 Wellington FL 33414-3164 | |
| (561) 792-7484 | |
| (561) 792-7454 |
| Full Name | Advent Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1447 Medical Park Blvd, Wellington, Florida |
| Authorized Official Name and Position | Edward K Kankam (PRESIDENT) |
| Authorized Official Contact | 5617927484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advent Family Practice 1447 Medical Park Blvd. 405 Wellington FL 33414-3164 Ph: (561) 792-7484 | Advent Family Practice 1447 Medical Park Blvd 405 Wellington FL 33414-3164 Ph: (561) 792-7484 |
| NPI Number | 1982654299 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 10/25/2012 |
| Medicare PECOS PAC ID | 7315075348 |
|---|---|
| Medicare Enrollment ID | O20100512000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982654299 | NPI | - | NPPES |
| 260022600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BK6520806 (Florida) | Primary |
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