# AVISS MEDICAL AND REHABILITATION CENTER INC

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

## Provider details

- **NPI number:** 1447761218
- **Authorized official:** EDWARD ESCOTO (CEO)
- **Authorized official phone:** (305) 755-2314

## Contact information

- **Practice address:** 14351 DELEON STREET, SUITE 2, FT. MYERS, FL 33907-3390
- **Practice address phone:** (305) 755-2314
- **Practice address fax:** (305) 755-2314
- **Mailing address:** 17255 SW 95TH AVE APT 119, PALMETTO BAY, FL 33157-4461
- **Mailing address phone:** (305) 755-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2017
- **Last updated:** 10/19/2017