Avalon Family Services, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

AVALON FAMILY SERVICES, LLC

Practice address

2816 E Robinson St
Orlando, FL 32803-5828

Phone

(407) 470-0819

Fax

(407) 823-7638

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By 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

Judythe E Pepin

Title

Administrator

Phone

(407) 470-0819

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1255725776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035828",
            "telephone_number": "407-470-0819",
            "fax_number": "407-823-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035828",
            "telephone_number": "407-470-0819",
            "fax_number": "407-823-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "PEPIN",
        "authorized_official_first_name": "JUDYTHE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-470-0819"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Orlando, FL
• Providers in Orlando, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.