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General NPI Number Information
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NPI Number | 1851920888
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Entity Type | Individual
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Provider Name | ALEXIS MARIE AVELLINO MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1285 ORANGE AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-4984
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Country | US
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Telephone | 407-647-2287
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Fax | 407-643-2801
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Provider Business Mailing Address
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Address Line | 1285 ORANGE AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-4984
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Country | US
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Telephone | 407-647-2287
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Fax | 407-643-2801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | ME158296
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | ME158296
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License Number State | FL
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