# A.V.G. PROFESSIONAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1407149008
- **Authorized official:** SERGIO R SHELTON (PRESIDENT)
- **Authorized official phone:** (305) 821-4617

## Contact information

- **Practice address:** 7600 WEST 20TH AVE, SUITE 218, HIALEAH, FL 33016-1821
- **Practice address phone:** (305) 821-4617
- **Mailing address:** 7600 WEST 20TH AVE, SUITE 218, HIALEAH, FL 33016-1821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2011
- **Last updated:** 05/16/2011