OrganizationActive
Avanti Wellness Center Flllp
NPI 1093033003 · Clinical Medical Laboratory · St Augustine, FL
Avanti Wellness Center Flllp is a Clinical Medical Laboratory organization in St Augustine, FL (NPI 1093033003).
Provider details
- NPI number
- 1093033003
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Randi Brazer, Director of Operations(904) 797-3115
- License
- 77644 (FL)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
3574 US 1 S
Suite 113
St Augustine, FL 32086-6466
Phone: (904) 797-3115
Fax: (904) 797-2915
Street-level locationGet directions
Mailing address
3574 US 1 S
St Augustine, FL 32086-6466
Registry dates
- Enumerated
- 2010-05-14
- Last updated
- 2011-02-28
Frequently asked questions
- What is Avanti Wellness Center Flllp's NPI number?
- Avanti Wellness Center Flllp's National Provider Identifier (NPI) is 1093033003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avanti Wellness Center Flllp?
- Avanti Wellness Center Flllp is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Avanti Wellness Center Flllp located?
- Avanti Wellness Center Flllp's practice location on file with NPPES is 3574 US 1 S, St Augustine, FL 32086-6466.
- What is Avanti Wellness Center Flllp's phone number?
- The practice phone number listed in the NPPES registry for Avanti Wellness Center Flllp is (904) 797-3115.
- Who is the authorized official for Avanti Wellness Center Flllp?
- The authorized official listed on Avanti Wellness Center Flllp's NPPES record is Randi Brazer, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avanti Wellness Center Flllp's NPI active?
- Yes — Avanti Wellness Center Flllp's NPI (1093033003) is active in the NPPES registry as of the last update on 2011-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.