MEDICARE: ADVANCE HEALTH SERVICES III INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	225100000X	Physical Therapist
3	225700000X	Massage Therapist
4	225X00000X	Occupational Therapist
5	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1184894370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE HEALTH SERVICES III INC

Provider Business Mailing Address
First Line	:	9425 SUNSET DR STE 130
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3295
Country	:	US
Telephone Number	:	305-216-1964
Fax Number	:	305-670-0054

Provider Business Practice Location Address
First Line	:	9425 SUNSET DR STE 130
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3295
Country	:	US
Telephone Number	:	305-216-1964
Fax Number	:	305-670-0054

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHRIS GOETZ
Credential	:	D.C.
Telephone Number	:	305-670-0055

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	02/23/2023

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