NPIMap

Organization Active NPI

Advantacare of Florida, LLC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1972806628
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9595 Issued in FL
Legal business name
ADVANTACARE OF FLORIDA, LLC
Practice address
435 West Oak Street
Kissimmee, FL 34741
Phone
(407) 350-4951
Fax
(407) 350-4953
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Kerri Herzog
Title
Office Manager
Phone
(407) 359-0047

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH 9595 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X

Addresses

Primary practice location

435 West Oak Street
Kissimmee, FL 34741

Mailing address

40 Alexandria Boulevard
Suite 1020
Oviedo, FL 32765
Phone (407) 359-0047

National Provider Directory

National Provider Directory
Tax ID family
Advantacare of Florida LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1972806628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ALEXANDRIA BOULEVARD",
            "address_2": "SUITE 1020",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-359-0047",
            "fax_number": "407-359-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 WEST OAK STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-350-4951",
            "fax_number": "407-350-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTACARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-359-0047"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9595",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.