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Individual
AVA E PHOENIX
Active
Individual
AVA E PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME74279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118880000
—
FL
05
—
265653100
—
FL
Enumeration date
04/03/2006
Last updated
05/02/2025
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