Organization Active NPI

Advantacare of Florida, LLC

  • Neurology Physician
  • Daytona Beach, FL
National Provider Identifier
1134467376
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME31437 Issued in FL
Legal business name
ADVANTACARE OF FLORIDA, LLC
Practice address
1040 Mason Ave
Daytona Beach, FL 32117-4612
Phone
(386) 248-0107
Fax
(386) 248-0109
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frank Alvarez, M.D.NPI 1083705453
Title
Managing Member
Phone
(386) 248-0107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X ME98460 FL
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X ME86688 FL
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X ME31437 FL Primary

Addresses

Primary practice location

1040 Mason Ave
Daytona Beach, FL 32117-4612

Mailing address

697 Maitland Ave
Suite 1001
Altamonte Springs, FL 32701-6821
Phone (407) 539-2111

National Provider Directory

National Provider Directory

Locations

2808 Enterprise Rd
Ste 105
Debary, FL 32713
Phone (386) 259-5413

539 S Chickasaw Trl
Orlando, FL 32825
Phone (407) 382-5439

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1134467376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MAITLAND AVE",
            "address_2": "SUITE 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016821",
            "telephone_number": "407-539-2111",
            "fax_number": "407-539-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174612",
            "telephone_number": "386-248-0107",
            "fax_number": "386-248-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTACARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-248-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME98460",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME86688",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME31437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.