Provider Demographics
NPI:1710128376
Name:CENTER FOR ADVANCED MEDICAL CARE, LLC
Entity Type:Organization
Organization Name:CENTER FOR ADVANCED MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-830-3650
Mailing Address - Street 1:2999 NE 191ST ST STE 250
Mailing Address - Street 2:CONCORDE CENTRE II
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3115
Mailing Address - Country:US
Mailing Address - Phone:305-830-3650
Mailing Address - Fax:305-830-3653
Practice Address - Street 1:2999 NE 191ST ST STE 250
Practice Address - Street 2:CONCORDE CENTRE II
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3115
Practice Address - Country:US
Practice Address - Phone:305-830-3650
Practice Address - Fax:305-830-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 8331207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBZ241AMedicare UPIN