Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Therapy Clinic, LLC

Organization Contractor · NPI 1912109927

Advanced Therapy Clinic, LLC is a Contractor in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 S Yonge St
Ormond Beach, FL 32174
Phone: (386) 299-3765
Fax: (386) 672-8351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence MA30567 (FL)

Record details

NPI number1912109927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Zimmerman — Clinic Director · (386) 299-3765
NPI enumeratedJune 1, 2007
Last updated in NPPESOctober 9, 2012
Mailing address255 S. Yonge St, Ormond Beach, FL 32174

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