Healthcare Provider Details

I. General information

NPI: 1396670550
Provider Name (Legal Business Name): ADVANCED CARE SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13195 SW 134TH ST STE 102
MIAMI FL
33186-4585
US

IV. Provider business mailing address

13195 SW 134TH ST STE 102
MIAMI FL
33186-4585
US

V. Phone/Fax

Practice location:
  • Phone: 305-964-5236
  • Fax: 305-964-5249
Mailing address:
  • Phone: 305-964-5236
  • Fax: 305-964-5249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: YANELIS GIL
Title or Position: OWNER
Credential:
Phone: 305-964-5236