| Avanti Wellness Center Flllp | |
|
3574 Us 1 S Suite 113 St Augustine FL 32086-6466 | |
| (904) 797-3115 | |
| (904) 797-2915 |
| Full Name | Avanti Wellness Center Flllp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3574 Us 1 S, St Augustine, Florida |
| Authorized Official Name and Position | Randi B Brazer (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9047973115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanti Wellness Center Flllp 3574 Us 1 S Suite 113 St Augustine FL 32086-6466 Ph: (904) 797-3115 | Avanti Wellness Center Flllp 3574 Us 1 S Suite 113 St Augustine FL 32086-6466 Ph: (904) 797-3115 |
| NPI Number | 1215179056 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 05/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215179056 | NPI | - | NPPES |
| 001136300 | Medicaid | FL |
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