Provider Demographics
NPI:1386454080
Name:AVIA TOTAL HEALTH PLLC
Entity type:Organization
Organization Name:AVIA TOTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:THAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-266-7485
Mailing Address - Street 1:3630 MEADOWLARK WAY
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-9502
Mailing Address - Country:US
Mailing Address - Phone:321-266-7485
Mailing Address - Fax:
Practice Address - Street 1:4195 W NEW HAVEN AVE STE 7
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-1701
Practice Address - Country:US
Practice Address - Phone:321-266-7485
Practice Address - Fax:321-290-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty