NPIMap

Organization Active NPI

Advantacare Pain Management Centers Inc

  • Sports Medicine (Family Medicine) Physician
  • Orlando, FL
National Provider Identifier
1154348126
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS5530 Issued in FL
Legal business name
ADVANTACARE PAIN MANAGEMENT CENTERS INC
Practice address
509 W Colonial Dr
Orlando, FL 32804-6803
Phone
(407) 898-2522
Fax
(407) 898-2102
NPI assigned
Jul 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Barry Kenneth SmithNPI 1922259332
Title
Coo
Phone
(321) 229-7387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6418 FL
Chiropractor 111N00000X CH7586 FL
Sports Medicine (Family Medicine) Physician 207QS0010X OS5530 FL Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME82389 FL

Addresses

Primary practice location

509 W Colonial Dr
Orlando, FL 32804-6803

Mailing address

509 W Colonial Dr
Orlando, FL 32804-6803
Phone (407) 898-2522

National Provider Directory

National Provider Directory

Locations

509 W Colonial Dr
Orlando, FL 32804
Phone (407) 420-2199

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154348126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046803",
            "telephone_number": "407-898-2522",
            "fax_number": "407-898-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046803",
            "telephone_number": "407-898-2522",
            "fax_number": "407-898-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTACARE PAIN MANAGEMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "321-229-7387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6418",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7586",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS5530",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME82389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.