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NPI Code Detail

MEDICARE: ADVANTACARE OF FLORIDA, LLC

MEDICARE: ADVANTACARE OF FLORIDA, LLC
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
1207QA0505XAdult Medicine PhysicianME42566FL
2208VP0014XInterventional Pain Medicine PhysicianME98460FL
3208100000XPhysical Medicine & Rehabilitation PhysicianME86688FL

General Provider Information

NPI Number : 1306116009
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTACARE OF FLORIDA, LLC
Provider Business Mailing Address
First Line : 697 MAITLAND AVE
Second Line : SUITE 1001
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6821
Country : US
Telephone Number : 407-539-2111
Fax Number : 407-539-1211
Provider Business Practice Location Address
First Line : 697 MAITLAND AVE
Second Line : SUITE1001
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6821
Country : US
Telephone Number : 407-539-2111
Fax Number : 407-539-1211
Authorized Official
Title or Position : MANAGING MEMBER
Name : FRANK S ALVAREZ JR.
Credential : M.D.
Telephone Number : 386-248-0107
Provider Enumeration Date : 01/11/2012
Last Update Date : 10/31/2013

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697 MAITLAND AVE , SUITE 1001
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1235237454 — DR. MICHAEL G SANDBORN MD
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1083705453 — DR. FRANK SEVERIANO ALVAREZ JR. M.D.
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697 MAITLAND AVE , SUITE 1001
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1851544761 — RAFAEL MIGUEL ROMERO PA-C
Practice Location Address:
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ALTAMONTE SPRINGS, FL
32701-6821
Practice Phone: 407-539-2111
Practice Fax: 407-539-1211

Directions to “ADVANTACARE OF FLORIDA, LLC ” Practice Location

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