RAFAEL AVECILLAS
NPI 1194156489
Assisted Living Facility in Dover, FL

Active since December 11, 2013
2644 FRITZKE RD, DOVER, FL 33527(813) 325-9450 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Assisted Living Facility

About RAFAEL AVECILLAS

This page provides the complete NPI Profile along with additional information for Rafael Avecillas, a provider established in Dover, Florida with a medical specialization in Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1194156489 assigned on December 2013. The practitioner's primary taxonomy code is 310400000X with license number AL11922 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1194156489 Verify this NPI
Provider Name
RAFAEL AVECILLAS
Gender
Male
Entity Type
Individual
Location Address
2644 FRITZKE RD DOVER, FL 33527
Location Phone
(813) 325-9450
Mailing Address
2644 FRITZKE RD DOVER, FL 33527
Mailing Phone
(813) 325-9450
Is Sole Proprietor?
Yes
Enumeration Date
12-11-2013
Last Update Date
12-11-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL11922
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194156489, enumerated as an "individual" on December 11, 2013.

The provider is located at 2644 FRITZKE RD DOVER, FL 33527 and the phone number is (813) 325-9450.

Assisted Living Facility with taxonomy code 310400000X.