Avner Asset LLC

Primary specialty

Military Outpatient Operational (Transportable) Component Clinic/CenterTaxonomy code 261QM1102X

Legal business name

AVNER ASSET LLC

Practice address

425 Myrtlewood Cir
Jacksonville, NC 28546-7411

Phone

(760) 805-6602

NPI assigned

Oct 5, 2021

Last updated

Oct 12, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Doreus

Title

General Manager

Phone

(760) 805-6602

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eline Dolce

  • Paramedic
  • Jacksonville, NC
  • NPI 1639841968
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1174295364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MYRTLEWOOD CIR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467411",
            "telephone_number": "760-805-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MYRTLEWOOD CIR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467411",
            "telephone_number": "760-805-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVNER ASSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "DOREUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "760-805-6602"
    },
    "taxonomies": [
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DMV",
            "identifier": "D620-460-78-067-0",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPT OF STATE",
            "identifier": "L17000152385",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autism Therapeutic Services (HealthPRO Pediatrics)
• Autism Therapeutic Services (HealthPRO Pediatrics)
• Michael Avery
• Avid Health at Home North Carolina (Avid Health at Home NC)
• Alicia Marie Aviles-Corey, IBCLC, RLC, ECE
• Savanna Axelberg, FNP-C
• Jessica Aycock, LCSW
• Makenzie M Ayers Sneed
• David Alexander Ayers, RPH
• Richard D Ayuso, OD

• Clinic/Center in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.