MEDICARE: ADVANCED CARE PROVIDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1003785734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CARE PROVIDERS

Provider Business Mailing Address
First Line	:	3644 MEADOW VISTA LN
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5792
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3644 MEADOW VISTA LN
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5792
Country	:	US
Telephone Number	:	850-445-4690
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARA PAPPAS
Credential	:
Telephone Number	:	850-445-4690

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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