Organization Name: | AVERY PARTNERS, INC |
NPI Number: | 1528455607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF MOORE (CEO) |
Mailing Address: | 220 N Main St Ste 2 Chiefland |
State: | FL US |
Postal Code: | 326260802 |
Phone Number: | 3524907500 |
Fax Number: | 3524907110 |
NPI Enumeration Date: | 04/16/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |