Advantage Family Medical Care INC
Family Medicine in New Port Richey, FL. Organization (NPI-2).
NPI number1194825588
StatusActive
Last updated in NPPESFeb 4, 2011
Details
- NPI
- 1194825588
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantage Family Medical Care INC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2006
- Last updated
- Feb 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS6553 | FL | Yes |
Practice location
5006 State Road 54New Port Richey, FL 34652-5908
Phone 727-569-7777
Mailing address
Po Box 1547Tarpon Springs, FL 34688-1547
Phone 727-569-7777
Authorized official
Andrew Alexander Fetchik
Vice Presiden
7275697777
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