AVANTI WELLNESS CENTER
NPI 1528200029
Clinic/Center in St Augustine, FL

Active since March 30, 2009
3574 US 1 S, SUITE 113, ST AUGUSTINE, FL 32086(904) 797-3115(904) 797-2915 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avanti Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVANTI WELLNESS CENTER (NPI 1528200029) is a healthcare organization registered as a clinic/center in St Augustine, Florida and active in the NPI registry since March 2009. The organization lists Randi B Brazer, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1528200029
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVANTI WELLNESS CENTER FLLLP
Location Address3574 US 1 S, SUITE 113St Augustine, FL 32086-6466
Mailing Address3574 Us 1 S, Suite 113St Augustine, FL 32086-6466 · (904) 797-3115 · Fax (904) 797-2915
Fax(904) 797-2915
Organization SubpartNo
Authorized OfficialRandi B BrazerDirector Of Operations · (904) 797-3115
Enumeration DateMarch 30, 2009
Last NPPES UpdateAugust 18, 2011
NPI 1528200029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · HCC7499
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedGeneral PracticeTaxonomy 208D00000X
3574 US 1 S, St Augustine, FL 32086

Other Names 1

Doing Business AsAvanti Wellness Center

Other Identifiers 1

Medicaid001136302FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
3574 US 1 S
ST AUGUSTINE, FL 32086
Counselor (Mental Health)
3574 US 1 S
ST AUGUSTINE, FL 32086
Clinical Medical Laboratory
3574 US 1 S, SUITE 113
ST AUGUSTINE, FL 32086
Counselor (Mental Health)
3574 US 1 S, UNIT 113
ST AUGUSTINE, FL 32086
Community/Behavioral Health
3574 US 1 S, SUITE 113
ST AUGUSTINE, FL 32086
Clinic/Center (Methadone)
3574 US 1 S, SUITES 101-104
ST AUGUSTINE, FL 32086
Nurse Practitioner (Psychiatric/Mental Health)
3574 US 1 S
ST AUGUSTINE, FL 32086
Counselor (Addiction (Substance Use Disorder))
3574 US 1 S
SAINT AUGUSTINE, FL 32086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avanti Wellness Center Flllp's NPI number?

The NPI number for Avanti Wellness Center Flllp is 1528200029. It was assigned to this organization in the NPPES registry on March 30, 2009. The provider is doing business as Avanti Wellness Center.

Where is Avanti Wellness Center Flllp located?

Avanti Wellness Center Flllp is located at 3574 Us 1 S Suite 113, St Augustine, FL 32086. The listed phone number is (904) 797-3115.

What is Avanti Wellness Center Flllp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Avanti Wellness Center Flllp was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.