Aviss Medical and Rehabilitation Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AVISS MEDICAL AND REHABILITATION CENTER INC

Practice address

14351 Deleon Street
Suite 2
Ft. Myers, FL 33907-3390

Phone

(305) 755-2314

Fax

(305) 755-2314

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Edward Escoto

Title

Ceo

Phone

(305) 755-2314

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1447761218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17255 SW 95TH AVE APT 119",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574461",
            "telephone_number": "305-755-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 DELEON STREET",
            "address_2": "SUITE 2",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "339073390",
            "telephone_number": "305-755-2314",
            "fax_number": "305-755-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISS MEDICAL AND REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "ESCOTO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-755-2314"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Aviles-Otero, LMHC
• Edmund Xavier Aviles
• Elsie Aviles
• Gabriela Alejandra Aviles
• Avipharm, LLC
• Avita Drugs Florida, LLC (Avita Pharmacy 1080)
• Avous Medspa, Professional Limited Liability Company
• Marina Awad, PHARMD
• Mohammad Awad, M.D
• Axel Health LLC

• Multi-Specialty Clinic/Center in Ft. Myers, FL
• Providers in Ft. Myers, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.