Individual
MRS. MARGARET L AVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2222 S. HARBOR CITY BLVD, SUITE 420, MELBOURNE, FL 32901
(321) 768-9914
(321) 953-1893
Mailing address
2222 S. HARBOR CITY BLVD, SUITE 420, MELBOURNE, FL 32901
(321) 768-9914
(321) 953-1893
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA2518
FL
363AS0400X
Surgical Physician Assistant
Primary
PA2518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120064800
—
FL
01
—
RX768
MEDICARE HF
FL
Enumeration date
10/31/2005
Last updated
11/06/2023
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