Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sanctuary Clinic of Yahweh, LLC

Organization Internal Medicine Physician · NPI 1821694282

Sanctuary Clinic of Yahweh, LLC is an Internal Medicine Physician in Avon Park, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 S Verona Ave
Avon Park, FL 33825-3913
Phone: (863) 453-3174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1821694282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benito Edouard — President · (863) 273-1097
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address15 S Verona Ave, Avon Park, FL 33825-3913

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