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Gregory Avetisov, DO
General Practice Physician in Belleview, Florida
NPI 1679917280

Gregory Avetisov is a General Practice Physician based in Tampa, FL. Gregory Avetisov practices in Belleview, FL and has the professional credentials of DO. The NPI Number for Gregory Avetisov is 1679917280 and holds a License No. OS17139 (Florida).

The current practice location address for Gregory Avetisov is 11531 Se Us Highway 301, Belleview, FL and can be reached out via phone at 352-553-1669 and via fax at 844-388-6186.

Location: 11531 Se Us Highway 301, Belleview, FL, 33602-5925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679917280
Provider Name
Gregory Avetisov
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11531 Se Us Highway 301, Belleview, FL, 33602-5925
Phone Number
352-553-1669
Fax Number
844-388-6186
Provider Enumeration Date
04/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11531 Se Us Highway 301
City
Belleview
State
Florida
Zip
34420-4429
Phone Number
352-553-1669
Fax Number
844-388-6186
person
Provider Business Mailing Address Details
Address
11531 Se Us Highway 301
City
Belleview
State
Florida
Zip
34420-4429
Phone Number
352-553-1669
Fax Number
844-388-6186
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OS17139 (Florida)
Definition
Definition to come...
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