Organization · NPI-2

Advantage Center I Corp

Clinic/Center · North Miami, FL

NPI number1114724259
StatusActive
Last updated in NPPESFeb 26, 2025

Details

NPI
1114724259
Entity type
Organization (NPI-2)
Legal business name
Advantage Center I Corp
Organization subpart
No
Enumeration date
Feb 26, 2025
Certification date
Feb 26, 2025
Last updated
Feb 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1175 Ne 125th St Ste 400
North Miami, FL 33161-5011

Phone 954-326-1658

Mailing address

1175 Ne 125th St Ste 400
North Miami, FL 33161-5011

Phone 954-326-1658

Authorized official

Antonio Terrelonge
President
9543261658

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