Provider Demographics
NPI:1396382545
Name:ADVANCED MEDICAL TREATMENTS, LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL TREATMENTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:JORDANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-965-1292
Mailing Address - Street 1:15024 CASTLE PARK TER
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5711
Mailing Address - Country:US
Mailing Address - Phone:412-965-1292
Mailing Address - Fax:706-660-1454
Practice Address - Street 1:4401 W KENNEDY BLVD FL 3
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2058
Practice Address - Country:US
Practice Address - Phone:412-965-1292
Practice Address - Fax:706-660-1454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty