Provider Demographics
NPI:1487944906
Name:ALL ADVANCE MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:ALL ADVANCE MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PERSIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVIA ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-220-0482
Mailing Address - Street 1:929 SW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2477
Mailing Address - Country:US
Mailing Address - Phone:305-220-0482
Mailing Address - Fax:305-220-0492
Practice Address - Street 1:929 SW 122ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2477
Practice Address - Country:US
Practice Address - Phone:305-220-0482
Practice Address - Fax:305-220-0492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center