MEDICARE: ADVANCEDNEURO CORP

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	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME146254	OTHER	FL	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043893878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCEDNEURO CORP

Provider Business Mailing Address
First Line	:	13010 ARBOR ISLE DR UNIT 102
Second Line	:
City	:	TEMPLE TERR
State	:	FL
Zip	:	33637-1145
Country	:	US
Telephone Number	:	201-590-5104
Fax Number	:	813-315-6299

Provider Business Practice Location Address
First Line	:	13010 ARBOR ISLE DR UNIT 102
Second Line	:
City	:	TEMPLE TERR
State	:	FL
Zip	:	33637-1145
Country	:	US
Telephone Number	:	201-590-5104
Fax Number	:	813-315-6299

Authorized Official
Title or Position	:	MD
Name	:	CHIRAG SAVANI
Credential	:
Telephone Number	:	201-590-5104

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	04/29/2021

Similar Medicare Providers

1194263178 — CHIRAG SAVANI
Practice Location Address:

13010 ARBOR ISLE DR UNIT 102
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1881341857 — ANTHONY DWIGHT BOBO, SR
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1477523199 — RESPONSIVE HOME HEALTH CARE INC
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1841941705 — PEACE OF HAPPINESS HOME HEALTH CARE AGENCY LLC
Practice Location Address:

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Practice Fax:

1124019427 — DR. VERNON P MONTOYA M.D.
Practice Location Address:

289 SW STONEGATE TERR , SUITE #103
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32024-3457

Practice Phone: 386-755-1655
Practice Fax: 386-755-2330

Directions to “ADVANCEDNEURO CORP ” Practice Location

Language	Start Address	Practice Location

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