Organization
AVISS MEDICAL AND REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ESCOTO (CEO)
(305) 755-2314
Entity
Organization
Contact information
Practice address
14351 DELEON STREET, SUITE 2, FT. MYERS, FL 33907-3390
(305) 755-2314
(305) 755-2314
Mailing address
17255 SW 95TH AVE APT 119, PALMETTO BAY, FL 33157-4461
(305) 755-2314
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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