Individual
YVETTE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 COURTLAND BLVD, DELTONA, FL 32738-2058
(386) 212-6580
Mailing address
2800 COURTLAND BLVD, DELTONA, FL 32738-2058
(386) 212-6580
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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