Avanti Wellness Center Flllp
Avanti Wellness Center Flllp is a Clinical Medical Laboratory in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
Practice location Address checks out
3574 US 1 S Ste 113St Augustine, FL 32086-6466
Phone: (904) 797-3115
Fax: (904) 797-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 77644 (FL) |
|---|
Record details
| NPI number | 1093033003 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randi Brazer — Director Of Operations · (904) 797-3115 |
| NPI enumerated | May 14, 2010 |
| Last updated in NPPES | February 28, 2011 |
| Mailing address | 3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466 |
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