OrganizationActive
Avenues Cancer Care Institute, LLC
NPI 1023308806 · Physical Medicine & Rehabilitation Physician · Jacksonville, FL
Provider details
- NPI number
- 1023308806
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Oteyza, Medical Director(904) 551-3122
- License
- ME0043663 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6144 Gazebo Park Pl S
Suite 211
Jacksonville, FL 32257-1099
Phone: (904) 651-9895
Street-level locationGet directions
Mailing address
Po Box 57946
Jacksonville, FL 32241-7946
Registry dates
- Enumerated
- 2011-04-13
- Last updated
- 2012-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.