Individual
NELLYVETTE AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 BRISTOL COVE LN, SAINT CLOUD, FL 34772-8285
(978) 223-8308
Mailing address
3543 BRISTOL COVE LN, SAINT CLOUD, FL 34772-8285
(978) 223-8308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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