Organization
AVENIR VENTURES, L.L.C.
Active
Other names
Comfort Care Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LABORDE (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
236 W GARDEN ST, SUITE 4, PENSACOLA, FL 32502-5755
(850) 469-0020
(850) 469-0097
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
HCC9472
FL
363L00000X
Nurse Practitioner
HCC9472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007183700
—
FL
Enumeration date
06/04/2012
Last updated
03/06/2014
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