Avila, Jessica

Avila, Jessica is an individual health care provider with primary practice located at 603 N Flamingo Road Ste 157, Pembroke Pines FL 33028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Avila, Jessica can be contacted via phone (954) 265-4325.

Contact Information

Primary practice address
603 N Flamingo Road Ste 157 Pembroke Pines FL 33028
Phone: (954) 265-4325
Fax: (954) 438-5191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 9250148 Florida

Profile Details

NPI number 1306106844
LBN Legal business name Avila, Jessica
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2012
Last updated Mar 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306106844 NPPES
Florida MEDICAID 017950300

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