Organization
AVALON WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M MILEY MD (MANAGER)
(941) 685-6533
Entity
Organization
Contact information
Practice address
6845 S TROPICAL TRL, MERRITT ISLAND, FL 32952-6512
(941) 685-6533
Mailing address
6845 S TROPICAL TRL, MERRITT ISLAND, FL 32952-6512
(941) 685-6533
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME34421
FL
Other
Enumeration date
05/20/2014
Last updated
09/29/2014
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