Organization
AVESIS OF FLORIDA, INC.
Active
Parent organization
AVATAR HOLDINGS, LLC
Other names
Avatar Holdings, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVATAR HOLDINGS, LLC
Authorized official
DR. PAUL JASON MANN DMD (CHIEF CLINICAL OFFICER)
(602) 603-6006
Entity
Organization
Contact information
Practice address
1200 S PINE ISLAND RD, PLANTATION, FL 33324-4413
(800) 522-0258
Mailing address
1295 W WASHINGTON ST STE 212, TEMPE, AZ 85288-1234
(800) 522-0258
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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