| Jose L Avila Md Pa | |
|
1380 Ne Miami Gardens Dr Suite 132 N Miami Beach FL 33179-4707 | |
| (305) 956-7755 | |
| (305) 956-5688 |
| Full Name | Jose L Avila Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1380 Ne Miami Gardens Dr, N Miami Beach, Florida |
| Authorized Official Name and Position | Jose Luis Avila (OWNER/PRES) |
| Authorized Official Contact | 3059567755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose L Avila Md Pa 413 Tamarind Dr Hallandale Beach FL 33009-6541 Ph: (305) 956-7755 | Jose L Avila Md Pa 1380 Ne Miami Gardens Dr Suite 132 N Miami Beach FL 33179-4707 Ph: (305) 956-7755 |
| NPI Number | 1225080039 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225080039 | NPI | - | NPPES |
| 257282600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME77537 (Florida) | Primary |
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