Paul I Avidon, PA
Physician Assistant, Surgical in Stuart, FL. Individual provider (NPI-1).
NPI number1265417802
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1265417802
- Entity type
- Individual (NPI-1)
- Name
- Paul I Avidon
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2005
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA0001609 | FL | Yes |
| 363A00000X | Physician Assistant | PA0001609 | FL |
Practice location
1050 Se Monterey Rd Ste 400Stuart, FL 34994-4512
Phone 772-288-2400
Mailing address
1050 Se Monterey RdSuite 400
Stuart, FL 34994-4512
Phone 772-288-2400 · Fax 772-419-0143
Other practice locations
900 Village Square Xing Ste 170
Palm Beach Gardens, FL 33410-4549
Palm Beach Gardens, FL 33410-4549
Phone 772-288-2400
9401 Sw Discovery Way
Port St Lucie, FL 34987-2376
Port St Lucie, FL 34987-2376
Phone 772-288-2400
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