OrganizationActive
Advantage Family Care PA
NPI 1164623443 · Family Medicine Physician · Bradenton, FL
Provider details
- NPI number
- 1164623443
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Canada, Director(941) 216-6200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9916 E State Road 64
Bradenton, FL 34212-5303
Phone: (941) 708-3100
Fax: (941) 708-3111
Street-level locationGet directions
Mailing address
9135 58th Dr E
Bradenton, FL 34202-9188
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2016-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.