ADVANTACARE OF FLORIDA, LLC (NPI# 1134467376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134467376 |
| Entity Type | Organization |
| Organization Name | ADVANTACARE OF FLORIDA, LLC |
| Practice Address |
1040 Mason Ave Daytona Beach FL 32117-4612 |
| Mailing Address |
697 Maitland Ave Suite 1001 Altamonte Springs FL 32701-6821 |
| Practice Telephone | 3862480107 |
| Practice Fax Number | 3862480109 |
| Mailing Telephone | 4075392111 |
| Mailing Fax Number | 4075391211 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | DR. FRANK ALVAREZ (MANAGING MEMBER) |
| Authorized Official Telephone | 3862480107 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | ME98460 | FL | Allopathic & Osteopathic Physicians |
| N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
ME86688 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME31437 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477857019 | Advantacare of Florida, LLC | Specialist | 815 Good Homes Road, Orlando, FL 32818 | 2010-12-22 |
| 1336442045 | Advantacare of Florida, LLC | Specialist | 40 Alexandria Boulevard, Suite 1020, Oviedo, FL 32765 | 2010-12-20 |
| 1972806628 | Advantacare of Florida, LLC | Specialist | 435 West Oak Street, Kissimmee, FL 34741 | 2010-12-17 |
| 1376846022 | Advantacare of Florida, LLC | Specialist | 539 South Chickasaw Trail, Orlando, FL 32835 | 2010-12-17 |
| 1003267980 | Advantacare of Florida, LLC | Pain Medicine | 9 Pine Cone Dr, Ste 104a, Palm Coast, FL 32137-8686 | 2016-06-22 |
| 1831597921 | Advantacare of Florida, LLC | Pain Medicine | 3546 Saint Johns Bluff Rd S, Suite 108, Jacksonville, FL 32224-2713 | 2014-12-05 |
| 1295090546 | Advantacare of Florida, LLC | Physical Therapist | 697 Maitland Ave, Altamonte Springs, FL 32701-6821 | 2012-07-11 |
| 1306116009 | Advantacare of Florida, LLC | Family Medicine | 697 Maitland Ave, Suite1001, Altamonte Springs, FL 32701-6821 | 2012-01-11 |
| Street Address |
1040 MASON AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093924136 | Andrew George Giaconi | Physician Assistant | 1040 Mason Ave, Daytona Beach, FL 32117-4612 | 2007-05-22 |
| 1326407313 | Advantacare Multi-specialty Group, LLC | Physical Medicine & Rehabilitation | 1040 Mason Ave, Daytona Beach, FL 32117-4612 | 2016-02-18 |
| 1619362951 | American Spine & Orthopaedic Institute, LLC | Orthopaedic Surgery | 1040 Mason Ave, Daytona Beach, FL 32117-4612 | 2015-04-03 |
| 1033468830 | Advantacare Medical Associates LLC | Physical Medicine & Rehabilitation | 1040 Mason Ave, Daytona Beach, FL 32117-4612 | 2012-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487613642 | John A Ortolani | Psychiatry & Neurology | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-03-17 |
| 1306097084 | Srivadee Oravivattanakul | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2008-10-01 |
| 1437194453 | Halifax Healthcare Systems Inc | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-06-17 |
| 1952343519 | Halifax Healthcare Systems Inc | Psychiatry & Neurology | 311 N Clyde Morris Blvd, Suite 510, Daytona Beach, FL 32114-2781 | 2006-06-11 |
| 1962461137 | Jeffrey J Ahmed | Psychiatry & Neurology | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.