MEDICARE: ADVANTACARE PAIN MANAGEMENT CENTERS INC

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	111N00000X	Chiropractor	CH6418	FL
2	111N00000X	Chiropractor	CH7586	FL
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME82389	FL
4	207QS0010X	Sports Medicine (Family Medicine) Physician	OS5530	FL

General Provider Information

NPI Number	:	1154348126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTACARE PAIN MANAGEMENT CENTERS INC

Provider Business Mailing Address
First Line	:	509 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6803
Country	:	US
Telephone Number	:	407-898-2522
Fax Number	:	407-898-2102

Provider Business Practice Location Address
First Line	:	509 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6803
Country	:	US
Telephone Number	:	407-898-2522
Fax Number	:	407-898-2102

Authorized Official
Title or Position	:	COO
Name	:	MR. BARRY KENNETH SMITH
Credential	:
Telephone Number	:	321-229-7387

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	09/11/2025

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Directions to “ADVANTACARE PAIN MANAGEMENT CENTERS INC ” Practice Location

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