Healthcare Provider Details

I. General information

NPI: 1194646604
Provider Name (Legal Business Name): ADVANCED CLINICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 LINTON BLVD
DELRAY BEACH FL
33484-6596
US

IV. Provider business mailing address

4805 PURDUE DR
BOYNTON BEACH FL
33436-7721
US

V. Phone/Fax

Practice location:
  • Phone: 561-729-9359
  • Fax:
Mailing address:
  • Phone: 561-729-9359
  • Fax: 561-729-9359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY SHANNON HARRIS-MORRISON
Title or Position: OWNER
Credential: APRN
Phone: 561-729-9359