AVANT GARDE SALON


Address: 1310 Sw 13th St, Suite G, Gainesville, FL 32608-1121
Phone: 3523760037

AVANT GARDE SALON (NPI# 1568757821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568757821
Entity Type Organization
Organization Name AVANT GARDE SALON
Practice Address 1310 Sw 13th St
Suite G
Gainesville
FL 32608-1121
Practice Telephone 3523760037
Mailing Telephone 3523760037
Enumeration Date 2011-06-15
Last Update Date 2011-06-15
Authorized Official Name MR. MICHAEL JOSEPH MOOK (OWNER)
Authorized Official Telephone 3523760037
Authorized Official Credential LMT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 1310 SW 13TH ST
SUITE G
City GAINESVILLE
State FL
Zip Code 32608-1121

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City GAINESVILLE
Zip Code 32608

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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