MEDICARE: ADVANCED HEALTHCARE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1043858475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEALTHCARE ASSOCIATES

Provider Business Mailing Address
First Line	:	1007 JENKS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2474
Country	:	US
Telephone Number	:	850-215-7920
Fax Number	:	850-848-9295

Provider Business Practice Location Address
First Line	:	1007 JENKS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2474
Country	:	US
Telephone Number	:	850-215-7920
Fax Number	:	850-848-9295

Authorized Official
Title or Position	:	OWNER
Name	:	HEATHER R TAYLOR
Credential	:	APRN
Telephone Number	:	850-215-7920

Provider Enumeration Date	:	12/16/2019
Last Update Date	:	11/04/2025

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Directions to “ADVANCED HEALTHCARE ASSOCIATES ” Practice Location

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