Martin E Avalos
Gastroenterologist
8725 N Wickham Rd Suite 302
Melbourne
, Florida 32940-5997
Martin E Avalos
Gastroenterologist
8725 N Wickham Rd Suite 302
Melbourne
, Florida 32940-5997
(321) 434-4662
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Martin E Avalos
- Po Box 561600
- Rockledge, FL
- Zip : 32956-1600
- Fax : (321) 434-4662
- Phone : (321) 434-4600
Second Address
- Martin E Avalos
- 8725 N Wickham Rd Suite 302
- Melbourne, FL
- Zip : 32940-5997
- Fax : (321) 434-9231
- Phone : (321) 434-9230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | ME79783 | FL |
National Provider Identifier
| NPI | 1033101985 |
|---|---|
| Provider Name | Martin E Avalos |
| First Address | Rockledge, FL 32956-1600 |
| Second Address | Melbourne, FL 32940-5997 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 22/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 258475100 | (05) | FL |
| H16013 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.