Avia Total Health Pllc | |
4195 W New Haven Ave Ste 7 West Melbourne FL 32904-1701 | |
(321) 266-7485 | |
(321) 290-9983 |
Full Name | Avia Total Health Pllc |
---|---|
Speciality | Family Medicine |
Location | 4195 W New Haven Ave Ste 7, West Melbourne, Florida |
Authorized Official Name and Position | Christopher Thaver (OWNER/PHYSICIAN) |
Authorized Official Contact | 3212667485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avia Total Health Pllc 3630 Meadowlark Way Melbourne FL 32904-9502 Ph: (321) 266-7485 | Avia Total Health Pllc 4195 W New Haven Ave Ste 7 West Melbourne FL 32904-1701 Ph: (321) 266-7485 |
NPI Number | 1386454080 |
---|---|
Provider Enumeration Date | 01/13/2025 |
Last Update Date | 01/13/2025 |
Certification Date | 01/09/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386454080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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