| NPI | 1528200029 |
|---|---|
| Doing Business As | AVANTI WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDI B BRAZER Director Of Operations 904-797-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC7499) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2011-08-18 |