Provider Demographics
NPI:1649324807
Name:ADVANCED MOTION CONTROL, INC.
Entity type:Organization
Organization Name:ADVANCED MOTION CONTROL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-LEAD PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENIO
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:305-661-4776
Mailing Address - Street 1:PO BOX 141627
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-1627
Mailing Address - Country:US
Mailing Address - Phone:305-661-4776
Mailing Address - Fax:305-661-2125
Practice Address - Street 1:4705 SW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4517
Practice Address - Country:US
Practice Address - Phone:305-661-4776
Practice Address - Fax:305-661-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPOR 87222Z00000X, 224P00000X
FLORF154225000000X
FLPOR87335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty
Not Answered224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
Not Answered225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Multi-Specialty
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM2361OtherBCBS
FL237176OtherAVMED
FL872871OtherPREFERRED MEDICAL PLAN
FL2813772OtherAETNA
FL029820OtherNHP
FL171830OtherSOUTH FL COMM. CARE PSN
FL=========OtherSUMMIT
FL=========OtherNETERAN AFFAIRS
FL=========OtherHEALTHSUN
FL=========OtherUNITED HEALTHCARE
FL=========OtherVISTA
FL237176OtherAVMED
FL872871OtherPREFERRED MEDICAL PLAN
FL=========OtherEPO ONE SOURCE
FL=========OtherLEON MEDICAL CENTER HP
FL=========OtherUS DEPT. OF LABOR
FL=========OtherJMH
FLM2361OtherBCBS
FL=========OtherVISTA