Organization
ADVANTAGE FAMILY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE M CANADA MD (DIRECTOR)
(941) 216-6200
Entity
Organization
Contact information
Practice address
9916 E STATE ROAD 64, BRADENTON, FL 34212-5303
(941) 708-3100
(941) 708-3111
Mailing address
9135 58TH DR E, BRADENTON, FL 34202-9188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
05/16/2016
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