Provider Demographics
NPI:1003267980
Name:ADVANTACARE OF FLORIDA, LLC
Entity type:Organization
Organization Name:ADVANTACARE OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBE
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-928-1901
Mailing Address - Street 1:9 PINE CONE DR
Mailing Address - Street 2:STE 104A
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-8686
Mailing Address - Country:US
Mailing Address - Phone:407-928-1901
Mailing Address - Fax:407-539-1211
Practice Address - Street 1:9 PINE CONE DR
Practice Address - Street 2:STE 104A
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8686
Practice Address - Country:US
Practice Address - Phone:386-668-2525
Practice Address - Fax:386-668-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty