Advance Medical Specialty Llc

LBN: Advance Medical Specialty Llc
Advance Medical Specialty Llc is an health care organization with primary practice located at 8550 Ne 138Th Ln Ste 500 , Lady Lake FL 32159-6804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Advance Medical Specialty Llc can be contacted via phone (352) 633-9858, or through Jaimangal, Hemwattie S via phone (352) 633-9858.

Contact Information

Primary practice address
8550 Ne 138Th Ln Ste 500 Lady Lake FL 32159-6804
Phone: (352) 633-9858
Fax: (352) 633-9870
Website:
Map and Directions
Authorized official contact:
Name: Jaimangal, Hemwattie S Doctor of Osteopathy (DO)
Phone: (352) 633-9858

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X OS10278 Florida

Profile Details

NPI number 1114449345
LBN Legal business name Advance Medical Specialty Llc
DBA Doing business as
Authorized official Jaimangal, Hemwattie S Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2017
Last updated Jun 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114449345 NPPES
Florida MEDICAID 021679600

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