Healthcare Provider Details

I. General information

NPI: 1366306334
Provider Name (Legal Business Name): AVAIL HEALTH MEDICAL PRACTICE OF FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77-81 EAST MAIN ST STE 205
WESTMINSTER MD
21157-6067
US

IV. Provider business mailing address

4115 BLACKHAWK PLAZA CIR STE 100
DANVILLE CA
94506-4616
US

V. Phone/Fax

Practice location:
  • Phone: 408-372-8380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANNE JANK
Title or Position: SR MANAGER CLINICAL OPERATIONS
Credential:
Phone: 574-274-0150