# AVNER ASSET LLC

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

## Provider details

- **NPI number:** 1174295364
- **Authorized official:** JOHN DOREUS (GENERAL MANAGER)
- **Authorized official phone:** (760) 805-6602

## Contact information

- **Practice address:** 425 MYRTLEWOOD CIR, JACKSONVILLE, NC 28546-7411
- **Practice address phone:** (760) 805-6602
- **Mailing address:** 425 MYRTLEWOOD CIR, JACKSONVILLE, NC 28546-7411
- **Mailing address phone:** (760) 805-6602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1102X | Military Outpatient Operational (Transportable) Component Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2021
- **Last updated:** 10/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D620-460-78-067-0 | FL DMV | FL |
| 01 | — | L17000152385 | FL DEPT OF STATE | FL |