Avilla, Margaret L

Avilla, Margaret L is an individual health care provider with primary practice located at 2222 S. Harbor City Blvd Suite 420, Melbourne FL 32901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Avilla, Margaret L can be contacted via phone (321) 768-9914.

Contact Information

Primary practice address
2222 S. Harbor City Blvd Suite 420 Melbourne FL 32901
Phone: (321) 768-9914
Fax: (321) 953-1893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2518 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2518 Florida

Profile Details

NPI number 1093706079
LBN Legal business name Avilla, Margaret L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Nov 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093706079 NPPES
Florida Other RX768 MEDICARE HF
Florida MEDICAID 120064800 MEDICARE HF

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