Provider Demographics
NPI:1700239191
Name:AV MED SERVICES INC
Entity Type:Organization
Organization Name:AV MED SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-990-0967
Mailing Address - Street 1:4400 N FEDERAL HWY STE 48
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-3426
Mailing Address - Country:US
Mailing Address - Phone:954-990-0967
Mailing Address - Fax:
Practice Address - Street 1:4400 N FEDERAL HWY STE 48
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-3426
Practice Address - Country:US
Practice Address - Phone:954-990-0967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty