NPIMap

Advantacare of Florida, LLC

Organization Active NPI Interventional Pain Medicine Physician · Palm Coast, FL

NPI 1003267980 · NPPES record last updated Jun 22, 2016

Key facts

NPI
1003267980
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
Legal business name
ADVANTACARE OF FLORIDA, LLC
Practice address
9 Pine Cone Dr
Ste 104a
Palm Coast, FL 32137-8686
Phone
(386) 668-2525
Fax
(386) 668-2585
NPI assigned
Jun 22, 2016
Organization subpart
No

Authorized official

Name
Dr. Frank Alvarez, M.D.
Title
Managing Membe
Phone
(407) 928-1901

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advantacare of Florida LLC (6 organizations share this tax ID)

Locations

9 Pine Cone Dr
Ste 104A
Palm Coast, FL 32137
Phone (386) 445-3919

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208VP0014X Yes

Addresses

Primary practice location

9 Pine Cone Dr
Ste 104a
Palm Coast, FL 32137-8686

Mailing address

9 Pine Cone Dr
Ste 104a
Palm Coast, FL 32137-8686
Phone (407) 928-1901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2016.

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1003267980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PINE CONE DR",
            "address_2": "STE 104A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378686",
            "telephone_number": "407-928-1901",
            "fax_number": "407-539-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PINE CONE DR",
            "address_2": "STE 104A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378686",
            "telephone_number": "386-668-2525",
            "fax_number": "386-668-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTACARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGING MEMBE",
        "authorized_official_telephone_number": "407-928-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

All providers in Palm Coast, FL · Interventional Pain Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.