| Avia Premier Care Llc | |
|
9767 Fox Hollow Rd Tampa FL 33647-1831 | |
| (813) 505-5296 | |
| Not Available |
| Full Name | Avia Premier Care Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 9767 Fox Hollow Rd, Tampa, Florida |
| Authorized Official Name and Position | Audrey Watson (CEO) |
| Authorized Official Contact | 8132159170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avia Premier Care Llc 9767 Fox Hollow Rd Tampa FL 33647-1831 Ph: () - | Avia Premier Care Llc 9767 Fox Hollow Rd Tampa FL 33647-1831 Ph: (813) 505-5296 |
| NPI Number | 1245771724 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245771724 | NPI | - | NPPES |
| 018120200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | 018120200 (Florida) | Primary |
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