Provider Demographics
NPI:1043327638
Name:ADVANCED HEALTH CHOICE INC
Entity Type:Organization
Organization Name:ADVANCED HEALTH CHOICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AXEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:305-278-8304
Mailing Address - Street 1:P O BOX 154
Mailing Address - Street 2:20547 OLD CUTLER TOWNE CTR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33189
Mailing Address - Country:US
Mailing Address - Phone:305-278-8304
Mailing Address - Fax:305-278-8353
Practice Address - Street 1:20547 OLD CUTLER TOWNE CTR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33189
Practice Address - Country:US
Practice Address - Phone:305-278-8304
Practice Address - Fax:305-278-8353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty