Organization
AVANTE AT MT. DORA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L. BIEGASIEWICZ (PRESIDENT)
(407) 216-0101
Entity
Organization
Contact information
Practice address
3050 BROWN AVE, MOUNT DORA, FL 32757-3453
(352) 383-4161
(352) 383-5074
Mailing address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 216-0101
(407) 318-2477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF13590961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025204200
—
FL
Enumeration date
12/21/2006
Last updated
03/17/2022
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