Advantacare Pain Management Centers Inc
Legal Business Name
Advantacare Pain Management Centers Inc
NPI Number
1154348126
NPI Type
Organization
Enumeration Date
07/16/2006
Specialties
(Taxonomies)Name
Code
111N00000X
2081P2900X
207QS0010X
Primary Taxonomy
No
No
No
Licenses
State
Florida
Florida
Florida
Florida
License Number
CH6418
CH7586
ME82389
OS5530
Contact
Information
Purpose
Mailing
Location
Address
509 W COLONIAL DR
509 W COLONIAL DR
City
Orlando
Orlando
State
FL
FL
Postal Code
32804-6803
32804-6803
Country
US
US
Telephone Number
(407) 898-2522
(407) 898-2522
Authorized Official
Name
Mr. Barry Smith
Title or Position
COO
Telephone Number
(321) 229-7387
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020