Healthcare Provider Details

I. General information

NPI: 1033032818
Provider Name (Legal Business Name): ADVANCEHEALTH CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 NW 87TH ST
EL PORTAL FL
33150-2417
US

IV. Provider business mailing address

PO BOX 840406
PEMBROKE PINES FL
33084-2406
US

V. Phone/Fax

Practice location:
  • Phone: 749-999-4007
  • Fax:
Mailing address:
  • Phone: 749-999-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DELPHIA JONES
Title or Position: MANAGER
Credential:
Phone: 749-999-4007