Organization · Type 2 NPI

Avita Medical Clinic LLC

General Practice Physician · Tampa, FL

NPI number 1992302574 Active

Practice location

14831 N Florida Ave
Tampa, FL 33613-1825

Call (813) 330-2737 Map

Fax (813) 210-9205

Other practice locations

  • 14839 N Florida Ave, Tampa, FL 33613-1825 · (813) 330-2737

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1992302574

Avita Medical Clinic LLC's National Provider Identifier is 1992302574, issued on Oct 6, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tampa, FL. The record was last updated on Sep 2, 2021.