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NPI Code Detail

MEDICARE: NADIA AVRIL

MEDICARE: NADIA AVRIL
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor

General Provider Information

NPI Number : 1720450968
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA AVRIL
Provider Business Mailing Address
First Line : 3421 NW 43RD ST
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33309-4234
Country : US
Telephone Number : 954-854-3855
Fax Number :
Provider Business Practice Location Address
First Line : 3421 NW 43RD ST
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33309-4234
Country : US
Telephone Number : 954-854-3855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2015
Last Update Date : 10/27/2015

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Directions to “ NADIA AVRIL ” Practice Location

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