OrganizationActive
Advantgarde Impacting Lives Inc
NPI 1184494205 · Internal Medicine Physician · Altamonte Springs, FL
Provider details
- NPI number
- 1184494205
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fleix Lopez, Owner(321) 317-6199
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
375 N State Road 434 Ste 207
Altamonte Springs, FL 32714-2256
Phone: (321) 317-6199
Fax: (407) 720-3042
Approximate (ZIP-level) locationGet directions
Mailing address
1621 Kersley Cir
Lake Mary, FL 32746-1925
Registry dates
- Enumerated
- 2024-01-09
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.