MEDICARE: ADVANTAGE HEALTH & WELLNESS CENTER

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	111NR0400X	Rehabilitation Chiropractor	CH8105	FL

General Provider Information

NPI Number	:	1811192693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE HEALTH & WELLNESS CENTER

Provider Business Mailing Address
First Line	:	510 PASADENA AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-2126
Country	:	US
Telephone Number	:	727-343-3959
Fax Number	:	727-343-3125

Provider Business Practice Location Address
First Line	:	510 PASADENA AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-2126
Country	:	US
Telephone Number	:	727-343-3959
Fax Number	:	727-343-3125

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS E HUGHES
Credential	:	D.C.
Telephone Number	:	727-343-3959

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/22/2020

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Directions to “ADVANTAGE HEALTH & WELLNESS CENTER ” Practice Location

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