ADV AN CED FLORIDA MEDICAL GROUP, CORP.
NPI 1376993980
Clinic/Center in Fort Myers, FL

Active since June 14, 2016
3900 BROADWAY STE D-9, FORT MYERS, FL 33901(239) 590-8570 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 22, 2016, Jun 14, 2016 (2 updates tracked since 2016).

About Adv An Ced Florida Medical Group, Corp. NPPES

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

ADV AN CED FLORIDA MEDICAL GROUP, CORP. (NPI 1376993980) is a healthcare organization registered as a clinic/center in Fort Myers, Florida and active in the NPI registry since June 2016. The organization lists Odalis Maza Morejon, President, as its authorized official.

NPPES Registry Identity

NPI1376993980
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameADV AN CED FLORIDA MEDICAL GROUP, CORP.
Location Address3900 BROADWAY STE D-9Fort Myers, FL 33901-8193
Mailing Address3900 Broadway, Suite D-9Fort Myers, FL 33901
Organization SubpartNo
Authorized OfficialOdalis Maza MorejonPresident · (239) 590-8570
Enumeration DateJune 14, 2016
Last NPPES UpdateSeptember 22, 20162 updates tracked since enumeration
NPI 1376993980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · HCC10633
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3900 BROADWAY STE D-9, Fort Myers, FL 33901

Other Identifiers 1

Other1649626409FL · Arnp

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 Adv An Ced Florida Medical Group, Corp.'s NPI number?

The NPI number for Adv An Ced Florida Medical Group, Corp. is 1376993980. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Adv An Ced Florida Medical Group, Corp. located?

Adv An Ced Florida Medical Group, Corp. is located at 3900 Broadway Ste D-9, Fort Myers, FL 33901. The listed phone number is (239) 590-8570.

What is Adv An Ced Florida Medical Group, Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Adv An Ced Florida Medical Group, Corp. was last updated on September 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.