Provider Demographics
NPI:1164074514
Name:AVO T&L, LLC
Entity Type:Organization
Organization Name:AVO T&L, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-286-9964
Mailing Address - Street 1:600 FLORIDA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-7953
Mailing Address - Country:US
Mailing Address - Phone:800-286-9964
Mailing Address - Fax:321-576-2516
Practice Address - Street 1:600 FLORIDA AVE STE 202
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-7953
Practice Address - Country:US
Practice Address - Phone:800-286-9964
Practice Address - Fax:321-576-2516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker