Provider Demographics
NPI:1871720185
Name:AVANCES INC
Entity type:Organization
Organization Name:AVANCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:COLINA-CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:772-283-4407
Mailing Address - Street 1:6135 SE WINDSONG LN
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-8226
Mailing Address - Country:US
Mailing Address - Phone:772-283-4407
Mailing Address - Fax:
Practice Address - Street 1:6135 SE WINDSONG LN
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-8226
Practice Address - Country:US
Practice Address - Phone:772-283-4407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty