| Freddy Avni Md Pa | |
|
1395 S State Road 7 Suite 420 Wellington FL 33414-9327 | |
| (561) 204-4687 | |
| (561) 204-4694 |
| Full Name | Freddy Avni Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1395 S State Road 7, Wellington, Florida |
| Authorized Official Name and Position | Freddy Avni (PHYSICIAN) |
| Authorized Official Contact | 5612044687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freddy Avni Md Pa 1395 S State Road 7 Suite 420 Wellington FL 33414-9327 Ph: (561) 204-4687 | Freddy Avni Md Pa 1395 S State Road 7 Suite 420 Wellington FL 33414-9327 Ph: (561) 204-4687 |
| NPI Number | 1467516518 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 09/07/2010 |
| Medicare PECOS PAC ID | 0042404105 |
|---|---|
| Medicare Enrollment ID | O20101102001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467516518 | NPI | - | NPPES |
| 250393000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0068307 (Florida) | Primary |
| Provider Name | Freddy Avni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972706729 PECOS PAC ID: 8921292095 Enrollment ID: I20101129000534 |
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