| Organization Name: | ADVANTAGE MEDICAL CARE, PC |
| NPI Number: | 1073893830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLINTON SEWELL (OWNER) |
| Mailing Address: | 1601 Sixth St Sugar Estate St Thomas |
| State: | VI US |
| Postal Code: | 008022635 |
| Phone Number: | 5165094795 |
| Fax Number: | 3407743211 |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |