# AVANTVISION P.A

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

## Provider details

- **NPI number:** 1225373236
- **Authorized official:** MRS. IVONNE L ORTIZ O.D (PRESIDENT)
- **Authorized official phone:** (786) 339-5687

## Contact information

- **Practice address:** 14450 SW 163RD ST, MIAMI, FL 33177-1718
- **Practice address phone:** (786) 339-5687
- **Mailing address:** 14450 SW 163RD ST, MIAMI, FL 33177-1718
- **Mailing address phone:** (786) 339-5687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4644 | FL | Yes |

## Other

- **Enumeration date:** 12/02/2012
- **Last updated:** 12/02/2012