AVANTI WELLNESS CENTER FLLLP (NPI# 1093033003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093033003 |
Entity Type | Organization |
Organization Name | AVANTI WELLNESS CENTER FLLLP |
Practice Address |
3574 Us 1 S Suite 113 St Augustine FL 32086-6466 |
Practice Telephone | 9047973115 |
Practice Fax Number | 9047972915 |
Mailing Telephone | 9047973115 |
Mailing Fax Number | 9047972915 |
Enumeration Date | 2010-05-14 |
Last Update Date | 2011-02-28 |
Authorized Official Name | MRS. RANDI B BRAZER (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 9047973115 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 77644 | FL | Laboratories |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528200029 | Avanti Wellness Center Flllp | General Practice | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2009-03-30 |
1215179056 | Avanti Wellness Center Flllp | Counselor | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2009-03-25 |
Street Address |
3574 US 1 S SUITE 113 |
City | ST AUGUSTINE |
State | FL |
Zip Code | 32086-6466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194734905 | Christina Lynn Paul | Counselor | 3574 Us 1 S, Unit 113, St Augustine, FL 32086-6466 | 2006-08-08 |
1003303934 | Daniela Treatment Panet Raymond | Counselor | 3574 Us 1 S, St Augustine, FL 32086-6466 | 2018-04-17 |
1447671763 | Mark David Durica | Social Worker | 3574 Us 1 S, St Augustine, FL 32086-6466 | 2014-01-05 |
1215379862 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 3574 Us 1 S, Suites 101-104, St Augustine, FL 32086-6466 | 2013-07-24 |
1356617294 | Stephanie Florence Lynch | Social Worker | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2012-03-26 |
1770855694 | Mary J Robson | Social Worker | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2012-02-08 |
1851676019 | Darlene Nicole Amesbury | Counselor | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2011-10-19 |
1942595913 | Juliana Olds | Counselor | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2011-06-17 |
1740572718 | Curtis L Lawrence | Social Worker | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2011-05-10 |
1528200029 | Avanti Wellness Center Flllp | General Practice | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2009-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
Find all providers in zip 32086 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
1700141439 | Advanced Medical Laboratories Inc | Clinical Medical Laboratory | 1690 Us Highway 1 South, Suite D, St Augustine, FL 32084-6024 | 2012-07-09 |
1821001330 | St Johns Biomedical Laboratories Inc | Clinical Medical Laboratory | 165 Southpark Blvd, Suite A, St Augustine, FL 32086-4101 | 2006-08-14 |
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City | ST AUGUSTINE |
Zip Code | 32086 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.