Organization Active NPI

Renato J. Aves, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Park, FL
National Provider Identifier
1609576594
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RENATO J. AVES, LLC
Practice address
320 N Edinburgh Dr Ste a
Winter Park, FL 32792-4157
Phone
(813) 885-6555
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Julie Marie Wangelin
Title
Coo
Phone
(813) 885-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

320 N Edinburgh Dr Ste a
Winter Park, FL 32792-4157

Mailing address

7720 W Waters Ave
Tampa, FL 33615-1813
Phone (727) 439-5695

Other names 1

  • Central Florida Institute of Oral Surgery & Dental Implants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Renato J Aves LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1609576594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151813",
            "telephone_number": "727-439-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N EDINBURGH DR STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924157",
            "telephone_number": "813-885-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATO J. AVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "WANGELIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-885-6555"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Institute of Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.