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Avner Asset Llc
Military Outpatient Operational (Transportable) Component Clinic/Center in Jacksonville, North Carolina
NPI 1174295364

Avner Asset Llc is a Military Outpatient Operational (Transportable) Component Clinic/Center based in Jacksonville, NC and is specialized in Military Outpatient Operational (Transportable) Component. Avner Asset Llc practices in Jacksonville, NC. The NPI Number for Avner Asset Llc is 1174295364 and holds a License No. (North Carolina).

The current practice location address for Avner Asset Llc is 425 Myrtlewood Cir, Jacksonville, NC and can be reached out via phone at 760-805-6602.

Location: 425 Myrtlewood Cir, Jacksonville, NC, 28546-7411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174295364
Provider Name
Avner Asset Llc
Credential
Provider Entity Type
Organization
Address
425 Myrtlewood Cir, Jacksonville, NC, 28546-7411
Phone Number
760-805-6602
Fax Number
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D620-460-78-067-0 01 FL FL DMV
L17000152385 01 FL FL DEPT OF STATE
institution
Provider Business Practice Location Address Details
Address
425 Myrtlewood Cir
City
Jacksonville
State
North Carolina
Zip
28546-7411
Phone Number
760-805-6602
Fax Number
person
Provider Business Mailing Address Details
Address
425 Myrtlewood Cir
City
Jacksonville
State
North Carolina
Zip
28546-7411
Phone Number
760-805-6602
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
261QM1102X
License No.
()
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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