Avalon Wellness Services Llc | |
6845 S Tropical Trl Merritt Island FL 32952-6512 | |
(941) 685-6533 | |
Not Available |
Full Name | Avalon Wellness Services Llc |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 6845 S Tropical Trl, Merritt Island, Florida |
Authorized Official Name and Position | Stephen M Miley (MANAGER) |
Authorized Official Contact | 9416856533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avalon Wellness Services Llc 6845 S Tropical Trl Merritt Island FL 32952-6512 Ph: (941) 685-6533 | Avalon Wellness Services Llc 6845 S Tropical Trl Merritt Island FL 32952-6512 Ph: (941) 685-6533 |
NPI Number | 1083026447 |
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Provider Enumeration Date | 05/20/2014 |
Last Update Date | 09/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083026447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | ME34421 (Florida) | Primary |
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