MEDICARE: ADVANTAGE MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WW0000X	Wound Care Registered Nurse
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician
3	208000000X	Pediatrics Physician
4	225100000X	Physical Therapist
5	261QM1300X	Multi-Specialty Clinic/Center
6	261QP2300X	Primary Care Clinic/Center
7	363LF0000X	Family Nurse Practitioner
8	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1568833093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	PO BOX 570038
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32857-0038
Country	:	US
Telephone Number	:	178-730-6835
Fax Number	:	407-930-1114

Provider Business Practice Location Address
First Line	:	1117 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-1480
Country	:	US
Telephone Number	:	178-730-6835
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	ARCILIO ALVARADO
Credential	:
Telephone Number	:	787-306-8356

Provider Enumeration Date	:	10/09/2015
Last Update Date	:	05/22/2025

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Directions to “ADVANTAGE MEDICAL GROUP LLC ” Practice Location

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