MEDICARE: ADVANCED MEDICAL SPECIALISTS

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1942462650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL SPECIALISTS

Provider Business Mailing Address
First Line	:	6635 FOREST HILL BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3354
Country	:	US
Telephone Number	:	561-969-3808
Fax Number	:

Provider Business Practice Location Address
First Line	:	6635 FOREST HILL BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3354
Country	:	US
Telephone Number	:	561-969-3808
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	DR. GUSTAVO ARELLANO LUIS ARELLANO
Credential	:	M.D
Telephone Number	:	407-520-1582

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	06/25/2008

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Directions to “ADVANCED MEDICAL SPECIALISTS ” Practice Location

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