IndividualActive
Rafael Avecillas
NPI 1194156489 · Assisted Living Facility · Dover, FL
Provider details
- NPI number
- 1194156489
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL11922 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2644 Fritzke Rd
Dover, FL 33527-3433
Phone: (813) 325-9450
Approximate (ZIP-level) locationGet directions
Mailing address
2644 Fritzke Rd
Dover, FL 33527-3433
Registry dates
- Enumerated
- 2013-12-11
- Last updated
- 2013-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.