Provider Demographics
NPI:1659132793
Name:AVACURE, PLLC
Entity Type:Organization
Organization Name:AVACURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:202-618-1031
Mailing Address - Street 1:4233 W HILLSBORO BLVD UNIT 970271
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33097-1217
Mailing Address - Country:US
Mailing Address - Phone:202-618-1031
Mailing Address - Fax:
Practice Address - Street 1:7620 E CYPRESSHEAD DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-1669
Practice Address - Country:US
Practice Address - Phone:202-618-1031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health