Organization · Type 2 NPI

Avidail Health Group, LLC

Primary Care Nurse Practitioner · St. Petersburg, FL

NPI number 1174404263 Active

Practice location

7901 4th St N Ste 300
St. Petersburg, FL 33702-4399

Fax (505) 305-2257

Mailing address

9 Old Kings Rd N Ste 123
Palm Coast, FL 32137-4603

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1174404263

Avidail Health Group, LLC's National Provider Identifier is 1174404263, issued on Sep 8, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 8, 2025.