Avita Medical Clinic Llc is a
General Practice based in Tampa, Florida. Avita Medical Clinic Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
14831 N Florida Ave, Tampa, Florida. It can be reached at their office (for appointments etc.) via phone at
(813) 330-2737.
NPI number for Avita Medical Clinic Llc is 1992302574 and their current mailing address is 14831 N Florida Ave, Tampa, Florida. Avita Medical Clinic Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992302574.
Healthcare Provider's Profile
| Full Name | Avita Medical Clinic Llc |
|---|
| Type | Facility |
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| Speciality | General Practice |
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| Location | 14831 N Florida Ave, Tampa, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992302574
- Provider Enumeration Date: 10/06/2020
- Last Update Date: 09/02/2021
Medical Identifiers
Medical identifiers for Avita Medical Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992302574 | NPI | - | NPPES |
| 109041600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avita Medical Clinic Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Avita Medical Clinic Llc
14831 N Florida Ave,
Tampa, FL 33613-1825
Ph: (813) 210-0982 | Avita Medical Clinic Llc
14831 N Florida Ave,
Tampa, FL 33613-1825
Ph: (813) 330-2737 |
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