| Avs Medical Llc | |
|
4691 Old Canoe Creek Rd Saint Cloud FL 34769-1550 | |
| (407) 498-4015 | |
| Not Available |
| Full Name | Avs Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4691 Old Canoe Creek Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Agustin Vega Santiago (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 7879690534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avs Medical Llc 8149 Gamemaster Ave Orlando FL 32832-5074 Ph: (787) 969-0534 | Avs Medical Llc 4691 Old Canoe Creek Rd Saint Cloud FL 34769-1550 Ph: (407) 498-4015 |
| NPI Number | 1891418141 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Medicare PECOS PAC ID | 8224409537 |
|---|---|
| Medicare Enrollment ID | O20230125000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891418141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Astrid Rosa Velez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649584715 PECOS PAC ID: 9638335938 Enrollment ID: I20170106000378 |
| Provider Name | Agustin Vega Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124322193 PECOS PAC ID: 1759668528 Enrollment ID: I20190201002413 |
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