Provider Demographics
NPI:1447856752
Name:AVANT, TODD (TT)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:AVANT
Suffix:
Gender:M
Credentials:TT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 NE 8TH AVE # 204
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-2116
Mailing Address - Country:US
Mailing Address - Phone:954-773-1000
Mailing Address - Fax:
Practice Address - Street 1:204 NE 8TH AVE # 204
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-2116
Practice Address - Country:US
Practice Address - Phone:954-773-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT168552278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health