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ADVANCED OBSTETRICS & GYNECOLOGY PA
NPI 1225055981
Obstetrics & Gynecology in Leesburg, FL

Active since July 17, 2006CLIA 10D0698573 · Waiver
1414 E MAIN ST, LEESBURG, FL 34748(352) 728-3898(352) 728-6240 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Obstetrics & Gynecology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED OBSTETRICS & GYNECOLOGY PA (NPI 1225055981) is a healthcare organization registered as an obstetrics & gynecology in Leesburg, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Manuel Alvarado, President, as its authorized official.

NPPES Registry Identity

NPI1225055981
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameADVANCED OBSTETRICS & GYNECOLOGY PA
Location Address1414 E MAIN STLeesburg, FL 34748-5329
Mailing Address1414 E Main StLeesburg, FL 34748-5329 · (352) 728-3898 · Fax (352) 728-6240
Phone(352) 728-3898
Fax(352) 728-6240
Organization SubpartNo
Authorized OfficialManuel AlvaradoPresident · (352) 728-3898
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 25, 2010
✔ NPI 1225055981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME-0059124
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1414 E MAIN ST, Leesburg, FL 34748
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Other Identifiers 2

Medicare ID-Type Unspecified38967FL · Medicare Group Number
Medicaid258320800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0698573

Advanced Obstetrics & Gynecology Of Lake County Ll · Leesburg, FL
Active · expires Aug 31, 2026
CLIA Number10D0698573
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShivakumar Hanubal
Laboratory Phone(352) 728-3898
Laboratory LocationAdvanced Obstetrics & Gynecology Of Lake County Ll1414 East Main Street, Leesburg, FL 34748
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHAWN KELLY LUNDBERG ARNP
Nurse Practitioner (Obstetrics & Gynecology)
1414 E MAIN ST
LEESBURG, FL 34748
Lake County (352) 728-3898
DR. SHIVAKUMAR S HANUBAL MD
Obstetrics & Gynecology (Gynecology)
1414 E MAIN ST
LEESBURG, FL 34748
Lake County (352) 728-3898
MANUEL ALVARADO MD PA
Obstetrics & Gynecology (Gynecology)
1414 E MAIN ST
LEESBURG, FL 34748
Lake County (352) 250-3472
FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology
1414 E MAIN ST
LEESBURG, FL 34748
Lake County (352) 728-3898
NICKOLOZ TCHANKOSHVILI M.D.
Obstetrics & Gynecology
1414 E MAIN ST
LEESBURG, FL 34748
Lake County (352) 728-3898
DR. MANUEL ALVARADO M.D.
Obstetrics & Gynecology
1414 E MAIN ST
LEESBURG, FL 34748
Lake County (352) 728-3898

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Obstetrics & Gynecology PA's NPI number?

The NPI number for Advanced Obstetrics & Gynecology PA is 1225055981. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Advanced Obstetrics & Gynecology PA located?

Advanced Obstetrics & Gynecology PA is located at 1414 E Main St, Leesburg, FL 34748. The listed phone number is (352) 728-3898.

What is Advanced Obstetrics & Gynecology PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Advanced Obstetrics & Gynecology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0698573) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Obstetrics & Gynecology PA was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.