Advantage Family Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANTAGE FAMILY CARE PA

Practice address

9916 E State Road 64
Bradenton, FL 34212-5303

Phone

(941) 708-3100

Fax

(941) 708-3111

NPI assigned

May 31, 2007

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole M Canada, MD

Title

Director

Phone

(941) 216-6200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Katrina Gabrielle Mylett, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1992168355
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1164623443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 58TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342029188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125303",
            "telephone_number": "941-708-3100",
            "fax_number": "941-708-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "CANADA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-216-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Cardiology PA
• Advanced Cardiovascular LLC
• Advanced Ear Care Medical Corp
• Advanced Heart Rhythm Care
• Advanced Physical Therapy of Bradenton Inc
• Adventure Smiles Pediatric Dentistry
• Advocates for Human Development, LLC
• Advocates, Inc
• Affinity Care of Manatee County LLC
• Affordable Dentures & Implants - Bradenton, P.a. (Affordable Dentures & Implants - Bradenton)

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.