# AVENUES CANCER CARE INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023308806
- **Authorized official:** DR. CARLOS A. OTEYZA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (904) 551-3122

## Contact information

- **Practice address:** 6144 GAZEBO PARK PL S, SUITE 211, JACKSONVILLE, FL 32257-1099
- **Practice address phone:** (904) 651-9895
- **Mailing address:** PO BOX 57946, JACKSONVILLE, FL 32241-7946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME0043663 | FL | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 03/26/2012