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Avanti Wellness Center Flllp
Clinic/Center in St Augustine, Florida
NPI 1528200029

Avanti Wellness Center Flllp is a Clinic/Center based in St Augustine, FL. Avanti Wellness Center Flllp practices in St Augustine, FL. The NPI Number for Avanti Wellness Center Flllp is 1528200029 and holds a License No. (Florida).

The current practice location address for Avanti Wellness Center Flllp is 3574 Us 1 S, St Augustine, FL and can be reached out via phone at 904-797-3115 and via fax at 904-797-2915.

Location: 3574 Us 1 S, St Augustine, FL, 32086-6466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528200029
Provider Name
Avanti Wellness Center Flllp
Credential
Provider Entity Type
Organization
Address
3574 Us 1 S, St Augustine, FL, 32086-6466
Phone Number
904-797-3115
Fax Number
904-797-2915
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001136302 05 FL
institution
Provider Business Practice Location Address Details
Address
3574 Us 1 S
City
St Augustine
State
Florida
Zip
32086-6466
Phone Number
904-797-3115
Fax Number
904-797-2915
person
Provider Business Mailing Address Details
Address
3574 Us 1 S
City
St Augustine
State
Florida
Zip
32086-6466
Phone Number
904-797-3115
Fax Number
904-797-2915
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
HCC7499 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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