# AVG MEDICAL SERV CORP

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

## Provider details

- **NPI number:** 1336156579
- **Authorized official:** MRS. ANA E MARTINEZ (PRESIDENT)
- **Authorized official phone:** (305) 512-5199

## Contact information

- **Practice address:** 5881 NW 151 ST, 215, MIAMI LAKES, FL 33014
- **Practice address phone:** (305) 512-5199
- **Practice address fax:** (305) 512-5198
- **Mailing address:** 5881 NW 151 ST, 215, MIAMI LAKES, FL 33014-2456
- **Mailing address phone:** (305) 512-5199
- **Mailing address fax:** (305) 512-5198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 07/21/2022