Provider Demographics
NPI:1649092776
Name:AVAWELL HEALTH LLC
Entity type:Organization
Organization Name:AVAWELL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, ALT ADMIN, DON
Authorized Official - Prefix:
Authorized Official - First Name:APRILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-497-6384
Mailing Address - Street 1:201 S BUMBY AVE STE P
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-6329
Mailing Address - Country:US
Mailing Address - Phone:407-743-0078
Mailing Address - Fax:407-743-0181
Practice Address - Street 1:201 S BUMBY AVE STE P
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-6329
Practice Address - Country:US
Practice Address - Phone:407-743-0078
Practice Address - Fax:407-743-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health