Provider Demographics
NPI:1992034839
Name:AVE PHOENIX US LLC
Entity type:Organization
Organization Name:AVE PHOENIX US LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-496-7480
Mailing Address - Street 1:5825 SUNSET DRIVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-662-4444
Mailing Address - Fax:305-723-2333
Practice Address - Street 1:5825 SUNSET DRIVE
Practice Address - Street 2:SUITE 305
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-662-4444
Practice Address - Fax:305-723-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies