| Avia Premier Care Llc | |
|
1452 Oakfield Dr Brandon FL 33511-4853 | |
| (813) 438-8276 | |
| Not Available |
| Full Name | Avia Premier Care Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 1452 Oakfield Dr, Brandon, Florida |
| Authorized Official Name and Position | Audrey Watson (CEO) |
| Authorized Official Contact | 8134388276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avia Premier Care Llc 1452 Oakfield Dr Brandon FL 33511-4853 Ph: (813) 438-8276 | Avia Premier Care Llc 1452 Oakfield Dr Brandon FL 33511-4853 Ph: (813) 438-8276 |
| NPI Number | 1225562465 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225562465 | NPI | - | NPPES |
| 018120200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | 018120200 (Florida) | Primary |
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