Advanced Care Physicians Group, P.a.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

0652AD822001 Issued in FL

Legal business name

ADVANCED CARE PHYSICIANS GROUP, P.A.

Practice address

9555 Seminole Blvd Ste 100
Seminole, FL 33772-2524

Phone

(727) 729-9000

Fax

(866) 614-2548

NPI assigned

Feb 18, 2015

Last updated

Jun 9, 2015By 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. Michael Todd Schaefer, DC, MPH, DACACD

Title

Ceo

Phone

(727) 729-9000

Specialties & licenses 1

Addresses

Tax ID family

Advanced Care Physicians Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Advanced Care Physicians Group , PA

  • Infectious Disease Physician
  • Seminole, FL
  • NPI 1497196240
  NPD tax ID

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.

• Kingsley Appaw Asare, DO

  • Internal Medicine Physician
  • Seminole, FL
  • NPI 1619120557
  NPD (past)

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1588055164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 100",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722524",
            "telephone_number": "727-729-9000",
            "fax_number": "866-614-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 100",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722524",
            "telephone_number": "727-729-9000",
            "fax_number": "866-614-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE PHYSICIANS GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-729-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MPH, DACACD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "0652AD822001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Seminole, FL
• Providers in Seminole, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.