Avery Ross Nielsen
Avery Ross Nielsen is a Student in an Organized Health Care Education/Training Program in Fleming Island, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2106 Heritage Oaks CtFleming Island, FL 32003-5300
Phone: (904) 327-3469
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1821682501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2021 |
| Last updated in NPPES | February 23, 2021 |
| Certification date | February 23, 2021 |
| Mailing address | 2106 Heritage Oaks Ct, Fleming Island, FL 32003-5300 |
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Dr. Brian John Deegan, MD
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Dr. Navid Shams Javani, MD
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MS. Shayla Nicole Smith
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