Healthcare Provider Details

I. General information

NPI: 1750445912
Provider Name (Legal Business Name): AVANTE AT ORLANDO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N SEMORAN BLVD
ORLANDO FL
32807-3712
US

IV. Provider business mailing address

5900 LAKE ELLENOR DR STE 700
ORLANDO FL
32809-4643
US

V. Phone/Fax

Practice location:
  • Phone: 407-671-5400
  • Fax: 407-671-7312
Mailing address:
  • Phone: 407-216-0101
  • Fax: 407-318-2477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1393096
License Number StateFL

VIII. Authorized Official

Name: KIMBERLY L. BIEGASIEWICZ
Title or Position: PRESIDENT
Credential:
Phone: 407-216-0101