| Organization Name: | ADVANTAGE CLINIC LLC |
| NPI Number: | 1558735290 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAYLOR E GAINES (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 901 Northpoint Pkwy Suite 302 West Palm Beach |
| State: | FL US |
| Postal Code: | 334071951 |
| Phone Number: | 5613521587 |
| Fax Number: | 5614200194 |
| NPI Enumeration Date: | 11/18/2015 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME55707 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |