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NPI Code Detail

MEDICARE: AVENIR VENTURES, L.L.C.

MEDICARE: AVENIR VENTURES, L.L.C.
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
1174400000XSpecialist

General Provider Information

NPI Number : 1851105597
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVENIR VENTURES, L.L.C.
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4897
Country : US
Telephone Number : 225-292-2031
Fax Number :
Provider Business Practice Location Address
First Line : 400 ROYAL PKWY
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3636
Country : US
Telephone Number : 877-202-2869
Fax Number :
Authorized Official
Title or Position : SVP TAX
Name : TRAVIS MIGLICCO
Credential :
Telephone Number : 225-299-3803
Provider Enumeration Date : 02/04/2025
Last Update Date : 02/04/2025

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