MEDICARE: CLARKE AVELLANOSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT30702	FL

General Provider Information

NPI Number	:	1043168354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARKE AVELLANOSA

Provider Business Mailing Address
First Line	:	5215 N CARNATION DR
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-2942
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 N CARNATION DR
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-2942
Country	:	US
Telephone Number	:	352-422-7638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

Similar Medicare Providers

1538780317 — MRS. CAMILLE ROMAIN LMSW
Practice Location Address:

6873 VACHON DR
BLOOMFIELD HILLS, MI
48301-2942

Practice Phone: 313-215-6994
Practice Fax:

1801764022 — LEAH WILKOWSKI
Practice Location Address:

703 SUSSEX CIR
VERNON HILLS, IL
60061-2942

Practice Phone: 224-361-1856
Practice Fax:

1629324298 — PETER MORRIS PTA
Practice Location Address:

2155 W MUSTANG BLVD
BEVERLY HILLS, FL
34465-3520

Practice Phone: 352-746-5707
Practice Fax:

1104352624 — NICHOLAS LABARGE
Practice Location Address:

4350 W HORSESHOE DR
BEVERLY HILLS, FL
34465-2955

Practice Phone: 678-656-9362
Practice Fax:

1366574428 — DR. NONA ELIZABETH BOONE PH.D.
Practice Location Address:

4150 N SADDLETREE DR
BEVERLY HILLS, FL
34465-4833

Practice Phone: 813-677-4568
Practice Fax:

1306936372 — DR. ELIZABETH M SCANLON PHD
Practice Location Address:

107 S LUCILLE ST
BEVERLY HILLS, FL
34465-4225

Practice Phone: 321-343-1175
Practice Fax: 855-399-8331

Directions to “ CLARKE AVELLANOSA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.