Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125066429 | IL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME143826 | FL |
NPI | 1508246083 |
---|---|
Provider Name | Dr. Robert John Avino |
First Address | Palm Beach Gardens, FL 33410-4625 |
Second Address | Palm Beach Gardens, FL 33410-4627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 25/08/2021 |