Organization
AVION PT LLC
Active
Other names
AVION SPORTS REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARK DETARDO (MEMBER)
(786) 831-8691
Entity
Organization
Contact information
Practice address
721 N FEDERAL HWY STE 4, FORT LAUDERDALE, FL 33304-3152
(954) 902-5150
(754) 900-5044
Mailing address
721 N FEDERAL HWY STE 4, FORT LAUDERDALE, FL 33304-3152
(954) 902-5150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/08/2021
Last updated
03/02/2025
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