Provider Demographics
NPI:1588055164
Name:ADVANCED CARE PHYSICIANS GROUP, P.A.
Entity type:Organization
Organization Name:ADVANCED CARE PHYSICIANS GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MPH, DACACD
Authorized Official - Phone:727-729-9000
Mailing Address - Street 1:9555 SEMINOLE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-2524
Mailing Address - Country:US
Mailing Address - Phone:727-729-9000
Mailing Address - Fax:866-614-2548
Practice Address - Street 1:9555 SEMINOLE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-2524
Practice Address - Country:US
Practice Address - Phone:727-729-9000
Practice Address - Fax:866-614-2548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0652AD822001261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder