Organization · NPI-2
Advance Health Research Center LLC
Clinic/Center, Research · West Palm Beach, FL
NPI number1851159974
StatusActive
Last updated in NPPESMar 12, 2024
Details
- NPI
- 1851159974
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Health Research Center LLC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2024
- Certification date
- Mar 12, 2024
- Last updated
- Mar 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1100X | Clinic/Center, Research | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
2630 Forest Hill BlvdWest Palm Beach, FL 33406-5931
Phone 786-236-3402 · Fax 754-225-9362
Mailing address
11137 Nw 68th PlParkland, FL 33076-3840
Phone 786-236-3402
Authorized official
Luis Rocha
Director
7862363402
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