Avalon L Liscio, | |
18 Bobolink Ct, Unit A, Naples, FL 34105-2468 | |
(239) 821-0434 | |
Not Available |
Full Name | Avalon L Liscio |
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Gender | Female |
Speciality | Chiropractor |
Location | 18 Bobolink Ct, Naples, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245917509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 14333 (Florida) | Primary |
Provider Name | Synergy Integrated Healthcare Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184090938 PECOS PAC ID: 9436469194 Enrollment ID: O20151109001080 |
Mailing Address | Practice Location Address |
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Avalon L Liscio, 18 Bobolink Ct, Unit A, Naples, FL 34105-2468 Ph: (239) 821-0434 | Avalon L Liscio, 18 Bobolink Ct, Unit A, Naples, FL 34105-2468 Ph: (239) 821-0434 |
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