Healthcare Provider Details

I. General information

NPI: 1407937022
Provider Name (Legal Business Name): AVANTE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 LAKE ELLENOR DR STE 700A
ORLANDO FL
32809-4618
US

IV. Provider business mailing address

5900 LAKE ELLENOR DR STE 700A
ORLANDO FL
32809-4618
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number9108939
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number089805000101
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number4262470001
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number089805000101
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number9108939
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number4262470001
License Number State
# 7
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number089805000101
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number9108939
License Number StateVA
# 9
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4262470001
License Number State

VIII. Authorized Official

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