Healthcare Provider Details

I. General information

NPI: 1831999218
Provider Name (Legal Business Name): AVH FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 UNIVERSITY BLVD N STE B
JACKSONVILLE FL
32211-8850
US

IV. Provider business mailing address

5949 MACY AVE
JACKSONVILLE FL
32211-5489
US

V. Phone/Fax

Practice location:
  • Phone: 904-923-3375
  • Fax:
Mailing address:
  • Phone: 904-923-3375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AARON HILL
Title or Position: PRESIDENT
Credential:
Phone: 904-923-3375