Organization
FREDDY AVNI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDDY AVNI MD (PHYSICIAN)
(561) 204-4687
Entity
Organization
Contact information
Practice address
1395 S STATE ROAD 7, SUITE 420, WELLINGTON, FL 33414-9327
(561) 204-4687
(561) 204-4694
Mailing address
1395 S STATE ROAD 7, SUITE 420, WELLINGTON, FL 33414-9327
(561) 204-4687
(561) 204-4694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0068307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250393000
—
FL
Enumeration date
12/21/2006
Last updated
09/07/2010
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