Organization · Type 2 NPI

Avanti Wellness Center Flllp

Clinic/Center · St. Augustine, FL

NPI number 1528200029 Active

Practice location

3574 US 1 S, Suite 113
St. Augustine, FL 32086-6466

Fax (904) 797-2915

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XNone listed
Clinic/Center Primary 261Q00000XHCC7499 (FL)

Clinic/Center: 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).

11 other providers at this address

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About NPI 1528200029

Avanti Wellness Center Flllp's National Provider Identifier is 1528200029, issued on Mar 30, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 18, 2011.