Avion Pt LLC
Specialist/Technologist, Athletic Trainer in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1174194252
StatusActive
Last updated in NPPESMar 2, 2025
Details
- NPI
- 1174194252
- Entity type
- Organization (NPI-2)
- Legal business name
- Avion Pt LLC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Mar 2, 2025
- Last updated
- Mar 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Other names
- Avion Sports Rehab (Doing Business As)
Practice location
721 N Federal Hwy Ste 4Fort Lauderdale, FL 33304-3152
Phone 954-902-5150 · Fax 754-900-5044
Mailing address
721 N Federal Hwy Ste 4Fort Lauderdale, FL 33304-3152
Phone 954-902-5150
Authorized official
Steven Mark Detardo
Member
7868318691
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