Freddy Avni MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0068307 Issued in FL

Legal business name

FREDDY AVNI MD PA

Practice address

1395 S State Road 7
Suite 420
Wellington, FL 33414-9327

Phone

(561) 204-4687

Fax

(561) 204-4694

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Freddy Avni, MDNPI 1972706729

Title

Physician

Phone

(561) 204-4687

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Freddy Avni, M.D.

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1972706729
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1467516518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 420",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149327",
            "telephone_number": "561-204-4687",
            "fax_number": "561-204-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 420",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149327",
            "telephone_number": "561-204-4687",
            "fax_number": "561-204-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDDY AVNI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "AVNI",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-204-4687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250393000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Frank, MD
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• Fresenius Medical Care Palm Beach County, LLC
• Fernando Frias Grishko
• Molly Friedman
• Dr. Duane Frisby, PHD

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.