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General NPI Number Information
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NPI Number | 1285545749
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Entity Type | Organization
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Legal Business Name | ADVANT MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 12995 S CLEVELAND AVE STE 157B
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City | FORT MYERS
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State | FL
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Zip | 33907-3867
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Country | US
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Telephone | 239-940-4122
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Fax |
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Provider Business Mailing Address
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Address Line | 12995 S CLEVELAND AVE STE 157B
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City | FORT MYERS
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State | FL
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Zip | 33907-3867
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Country | US
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Telephone | 239-940-4122
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT, ADMIN
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Name | JONATHAN PEREZ-FERREIRO
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Credential |
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Telephone | 239-940-4122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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