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Avanti Wellness Center Flllp

Community/Behavioral Health Agency in St Augustine, FL · enumerated 2009 · authorized official Randi Brazer, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215179056

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Registry record

Entity type Organization (Type 2)
Legal business name Avanti Wellness Center Flllp
Practice address 3574 Us 1 S, Suite 113, St Augustine, FL, 32086
Fax (904) 797-2915
Enumeration date Mar 25, 2009
Last updated in NPPES May 19, 2011

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Randi Brazer
Title Director of Operations

Other identifiers

Identifier Type State Issuer
001136300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Avanti Wellness Center Flllp located?
The practice location on file with NPPES is in St Augustine, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-19.