AVANTI WELLNESS CENTER FLLLP (NPI# 1528200029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528200029 |
| Entity Type | Organization |
| Organization Name | AVANTI WELLNESS CENTER FLLLP |
| Other Organization Name | AVANTI WELLNESS CENTER |
| 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 | 2009-03-30 |
| Last Update Date | 2011-08-18 |
| 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 |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | HCC7499 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001136302 | 05 |
| Other Name | Type Code |
|---|---|
| Avanti Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093033003 | Avanti Wellness Center Flllp | Clinical Medical Laboratory | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2010-05-14 |
| 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 |
| 1093033003 | Avanti Wellness Center Flllp | Clinical Medical Laboratory | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 | 2010-05-14 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1720261076 | St Augustine Acupuncture Centre Inc | Clinic/Center | 6349 Salado Rd, St Augustine, FL 32080-7665 | 2007-12-10 |
| 1184260432 | Augustine Health Inc | Clinic/Center | 101 E Town Pl Ste 100, St Augustine, FL 32092-2726 | 2019-11-21 |
| 1891298790 | Fm Medical Clinic LLC | Clinic/Center | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2018-03-16 |
| 1316473168 | High Power Diagnosis | Clinic/Center | 2200 N Ponce De Leon Blvd, Suite 7, St Augustine, FL 32084-2600 | 2017-05-11 |
| 1417196106 | Gloria Z. Moore D.c., P.a. | Clinic/Center | 101 Whitehall Dr, Suite 102, St Augustine, FL 32086-5268 | 2009-02-19 |
| 1467649632 | Qixia Huang, M.d., P.a. | Clinic/Center | 1301 Plantation Island Dr S Ste 102a, St Augustine, FL 32080-3109 | 2007-10-01 |
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| Find all providers with the same taxonomy | ||||
| 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.