MEDICARE: ADVANCED MEDICAL HEALTH LLC

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	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639854326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL HEALTH LLC

Provider Business Mailing Address
First Line	:	8650 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2338
Country	:	US
Telephone Number	:	786-444-6003
Fax Number	:

Provider Business Practice Location Address
First Line	:	8650 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2338
Country	:	US
Telephone Number	:	786-444-6003
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AYMEE HERNANDEZ
Credential	:
Telephone Number	:	786-444-6003

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	06/20/2023

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Directions to “ADVANCED MEDICAL HEALTH LLC ” Practice Location

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