Avia Premier Care Llc

LBN: Avia Premier Care Llc
Avia Premier Care Llc is an health care organization with primary practice located at 9767 Fox Hollow Rd , Tampa FL 33647-1831. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as the primary health care specialty. Avia Premier Care Llc can be contacted via phone (813) 505-5296, or through Watson, Audrey via phone (813) 215-9170.

Contact Information

Primary practice address
9767 Fox Hollow Rd Tampa FL 33647-1831
Phone: (813) 505-5296
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Watson, Audrey
Phone: (813) 215-9170

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 018120200 Florida

Profile Details

NPI number 1245771724
LBN Legal business name Avia Premier Care Llc
DBA Doing business as
Authorized official Watson, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2017
Last updated Mar 16th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245771724 NPPES
Florida MEDICAID 018120200

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