| Avon Medical Center | |
|
2398 Hartford Dr Avon Park FL 33825-9523 | |
| (863) 453-2500 | |
| (863) 453-0745 |
| Full Name | Avon Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2398 Hartford Dr, Avon Park, Florida |
| Authorized Official Name and Position | Michael Ray Karr (PRESIDENT) |
| Authorized Official Contact | 8634532500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Medical Center 2398 Hartford Dr Avon Park FL 33825-9523 Ph: (863) 453-2500 | Avon Medical Center 2398 Hartford Dr Avon Park FL 33825-9523 Ph: (863) 453-2500 |
| NPI Number | 1902944747 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 09/12/2012 |
| Medicare PECOS PAC ID | 5698666071 |
|---|---|
| Medicare Enrollment ID | O20040324000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902944747 | NPI | - | NPPES |
| 660069700 | Medicaid | FL | |
| 290263000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PA1725 (Florida) | Secondary |
| 261Q00000X | Clinic/center | ME 91882 (Florida) | Primary |
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