Avanti Wellness Center Flllp
Avanti Wellness Center Flllp provides General Practice Physician services in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2009.
- Licensed in
- FL
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
3574 US 1 S Ste 113St Augustine, FL 32086-6466 Not confirmed with CMS for 15 years — call before visiting
Phone: (904) 797-3115
Fax: (904) 797-2915
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence HCC7499 (FL) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1528200029 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randi Brazer — Director Of Operations · (904) 797-3115 |
| Other names | Avanti Wellness Center |
| NPI enumerated | March 30, 2009 |
| Last updated in NPPES | August 18, 2011 |
| Mailing address | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 |
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