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NPI Code Detail

MEDICARE: ADVANCED MEDICAL TREATMENTS, LLC

MEDICARE: ADVANCED MEDICAL TREATMENTS, LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1396382545
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED MEDICAL TREATMENTS, LLC
Provider Business Mailing Address
First Line : 15024 CASTLE PARK TER
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-5711
Country : US
Telephone Number : 412-965-1292
Fax Number : 706-660-1454
Provider Business Practice Location Address
First Line : 4401 W KENNEDY BLVD FL 3
Second Line :
City : TAMPA
State : FL
Zip : 33609-2058
Country : US
Telephone Number : 412-965-1292
Fax Number : 706-660-1454
Authorized Official
Title or Position : OWNER
Name : JOSEPH J JORDANO
Credential :
Telephone Number : 412-965-1292
Provider Enumeration Date : 12/06/2019
Last Update Date : 12/06/2019

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Directions to “ADVANCED MEDICAL TREATMENTS, LLC ” Practice Location

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