MEDICARE: AVOCY HEALTH FLORIDA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1629750823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVOCY HEALTH FLORIDA, LLC

Provider Business Mailing Address
First Line	:	1011 E CUMBERLAND AVE UNIT 2117
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4276
Country	:	US
Telephone Number	:	858-926-8210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 E CUMBERLAND AVE UNIT 2117
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4276
Country	:	US
Telephone Number	:	858-926-8210
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDWARD BRANN
Credential	:
Telephone Number	:	858-926-8210

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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Directions to “AVOCY HEALTH FLORIDA, LLC ” Practice Location

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