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Organization
AVIA PREMIER CARE LLC
Active
Organization
AVIA PREMIER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY WATSON (CEO)
(813) 215-9170
Entity
Organization
Contact information
Practice address
1504 KESTREL WAY, BRANDON, FL 33511-8343
(813) 728-9842
Mailing address
1504 KESTREL WAY, BRANDON, FL 33511-8343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
018120200
FL
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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