Organization · NPI-2

Advent Health, LLC

Nurse Practitioner · Port St Lucie, FL

NPI number1609269026
StatusActive
Last updated in NPPESMar 10, 2015

Details

NPI
1609269026
Entity type
Organization (NPI-2)
Legal business name
Advent Health, LLC
Organization subpart
No
Enumeration date
Mar 10, 2015
Last updated
Mar 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes
208D00000X General Practice––

Practice location

9861 Sw Eastbrook Cir
Port St Lucie, FL 34987-2431

Phone 787-614-5231

Mailing address

138 Ave Winston Churchill
Pmb 659
San Juan, PR 00926-6013

Phone 787-614-5231

Authorized official

Juan C Ramos Martinez
Mgr
7876145231

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