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Organization

AVAHEALTH, INC.

Active
Other names
KEY INSURANCE PLAN
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE FRIEMAN D.O. (CEO)
(813) 868-5959
Entity
Organization

Contact information

Practice address
5440 MARINER ST, SUITE 110, BUILDING 9, TAMPA, FL 33609-3446
(813) 868-5959
(813) 288-8520
Mailing address
5440 MARINER ST, SUITE 110, BUILDING 9, TAMPA, FL 33609-3446
(813) 868-5959
(813) 288-8520

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
11-
FL

Other

Enumeration date
08/05/2011
Last updated
07/21/2022
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