# ADVANTAGE FAMILY CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164623443
- **Authorized official:** DR. NICOLE M CANADA MD (DIRECTOR)
- **Authorized official phone:** (941) 216-6200

## Contact information

- **Practice address:** 9916 E STATE ROAD 64, BRADENTON, FL 34212-5303
- **Practice address phone:** (941) 708-3100
- **Practice address fax:** (941) 708-3111
- **Mailing address:** 9135 58TH DR E, BRADENTON, FL 34202-9188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 05/16/2016