Organization · NPI-2

Advancedtreatmentcenter,inc.

Clinic/Center · St Petersburg, FL

NPI number1710152285
StatusActive
Last updated in NPPESApr 25, 2008

Details

NPI
1710152285
Entity type
Organization (NPI-2)
Legal business name
Advancedtreatmentcenter,inc.
Organization subpart
No
Enumeration date
Apr 25, 2008
Last updated
Apr 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
344600000X Taxi––

Practice location

1106 34th St N
St Petersburg, FL 33713-5432

Phone 727-388-3796 · Fax 727-388-6888

Mailing address

1106 34th St N
St Petersburg, FL 33713-5432

Phone 727-388-3796 · Fax 727-388-6888

Authorized official

Piboon Kitiratanasumpun
Owner
7274123225

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