| Organization Name: | ADVANCED HEALTH CARE PHYSICAL MEDICINE,LLC |
| NPI Number: | 1063787331 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HUI LIN O'CONNOR (OFFICE MANAGER) |
| Mailing Address: | 801 W Granada Blvd Suite 101 Ormond Beach |
| State: | FL US |
| Postal Code: | 321748114 |
| Phone Number: | 3866732000 |
| Fax Number: | 3866732002 |
| NPI Enumeration Date: | 03/20/2012 |
| NPI Last Update Date: | 03/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME60233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |