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ADVANCED FUNCTIONAL HEALTH AND WELLNESS
NPI 1730450990
Clinic/Center - Primary Care in Gaithersburg, MD

Active since January 19, 2012
9711 WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878(301) 966-2558 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Functional Health And Wellness NPPES

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

ADVANCED FUNCTIONAL HEALTH AND WELLNESS (NPI 1730450990) is a healthcare organization registered as a primary care in Gaithersburg, Maryland and active in the NPI registry since January 2012. The organization lists Louis Gbone, Manager, as its authorized official.

NPPES Registry Identity

NPI1730450990
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADVANCED FUNCTIONAL HEALTH AND WELLNESS
Location Address9711 WASHINGTONIAN BLVD STE 550Gaithersburg, MD 20878-5789
Mailing Address3731 Spicebush DrFrederick, MD 21704-7879 · (301) 966-2558 · Fax (301) 769-6650
Phone(301) 966-2558
Organization SubpartNo
Authorized OfficialLouis GboneManager · (240) 426-3133
Enumeration DateJanuary 19, 2012
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1730450990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · D0069829
9711 WASHINGTONIAN BLVD STE 550, Gaithersburg, MD 20878
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Other Providers at the Same Location NPPES 20

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

ALISHA ANTOINETTE BROADUS
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357
ARIANA AVILA SALAS
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357
MAURA CASU
Behavior Analyst
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357
KATHLEEN JONES
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357
FEREBA ABDULMUHIN
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357
MICHAEL KOFI DICKSON
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357
KALEY MORRIS
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357
WILLA SALAS
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Montgomery County (410) 609-6357

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 Functional Health And Wellness's NPI number?

The NPI number for Advanced Functional Health And Wellness is 1730450990. It was assigned to this organization in the NPPES registry on January 19, 2012.

Where is Advanced Functional Health And Wellness located?

Advanced Functional Health And Wellness is located at 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878. The listed phone number is (301) 966-2558.

What is Advanced Functional Health And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Advanced Functional Health And Wellness was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.