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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADVANCED FAMILY MEDICINE CLINIC INC

Deactivated Organization

ADVANCED FAMILY MEDICINE CLINIC INC is a Family Medicine organization located in CRESTVIEW, Florida. NPI 1184805830 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · CRESTVIEW, FL

This NPI has been deactivated. The record was deactivated on April 10, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1184805830
Provider Type
Organization
NPI Issued
Nov 23, 2007 (12.379781420765 yrs)
Last Updated
Apr 17, 2020
Deactivated
Apr 10, 2020
License
ME89643 (FL)

Practice Information

Address
327 MEDCREST DRIVE
UNIT A
CRESTVIEW, FL, 32536
Browse FL providers · Browse ZIP 32536
Phone
8504230761
Fax
8557933568
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in CRESTVIEW, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.