Individual
RICHARD AVITABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17909 THELMA AVE, APT E, JUPITER, FL 33458-7962
(561) 575-6450
Mailing address
17909 THELMA AVE, APT E, JUPITER, FL 33458-7962
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA93563
FL
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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