AVALON MEDICAL & REHABILITATION CENTER LLC (NPI# 1780158774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780158774 |
| Entity Type | Organization |
| Organization Name | AVALON MEDICAL & REHABILITATION CENTER LLC |
| Other Organization Name | AVALON MEDICAL CENTER |
| Practice Address |
3601 W Commercial Blvd Ste 18 Fort Lauderdale FL 33309-3320 |
| Practice Telephone | 9545264777 |
| Mailing Telephone | 9545264777 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | MR. ROMAN ZAYDMAN (PRESIDENT) |
| Authorized Official Telephone | 9545264777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Avalon Medical Center | Doing Business As Name - Organization |
| Street Address |
3601 W COMMERCIAL BLVD STE 18 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016323 | Anthony Leonardi | Chiropractor | 803 W Las Olas Blvd, Fort Lauderdale, FL 33312-7148 | 2020-02-23 |
| 1548802143 | Elizabeth Bednar | Chiropractor | 1819 E Commercial Blvd, Fort Lauderdale, FL 33308-3767 | 2019-10-15 |
| 1518510841 | Mobile Chiro Rehab, Inc. | Chiropractor | 618 Sw 6th St, Fort Lauderdale, FL 33315-1034 | 2019-07-16 |
| 1972065662 | Michelle Cruz-abril | Chiropractor | 450 Ne 5th St Ste 7, Fort Lauderdale, FL 33301-3497 | 2019-04-02 |
| 1477041010 | Gary Ralph Douglas | Chiropractor | 3077 E Commercial Blvd # 1a, Fort Lauderdale, FL 33308-4311 | 2018-04-30 |
| 1336644889 | Chris Morgan Henderson Pllc | Chiropractor | 2520 Sw 34th Ave, Fort Lauderdale, FL 33312-4738 | 2018-03-27 |
| 1962925313 | Morgan Christine Grothman | Chiropractor | 2631 E Oakland Park Blvd Ste 104, Fort Lauderdale, FL 33306-1607 | 2017-07-18 |
| 1952836652 | Sherif Musa | Chiropractor | 3333 W Commercial Blvd Ste 101, Fort Lauderdale, FL 33309-3424 | 2017-05-01 |
| 1730630179 | Dexter Hinds | Chiropractor | 4800 Ne 20th Ter Ste 102c, Fort Lauderdale, FL 33308-4510 | 2016-10-20 |
| 1780040808 | Jack Wise | Chiropractor | 701 E Broward Blvd Ste D, Fort Lauderdale, FL 33301-2022 | 2016-01-05 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on AVALON MEDICAL & REHABILITATION CENTER LLC.
| 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.