Look up the most recent NPI and PECOS records

Avery L Buchholz

Neurological Surgery

Allopathic & Osteopathic Physicians

89 W Copeland Dr Fl 2, Orlando, FL 32806-2002

PECOS Enrollment

This provider is enrolled in PECOS as AVERY BUCHHOLZ.

Based on the most recent information from CMS, provider Avery L Buchholz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1821319682
Provider Type
Individual
Full Name
Buchholz, Avery L
Title
Dr.
Credential
M.D., MPH

Gender
Male
Sole Proprietor
No
Enumeration Date
6/16/2010
Last Updated
1/24/2024

Contact Information

Practice Location

89 W Copeland Dr Fl 2, Orlando, FL 32806-2002

(321) 841-7550

(321) 841-8185

Mailing Location

89 W Copeland Dr Fl 2, Orlando, FL 32806-2002

(321) 841-7550

(321) 841-8185

Provider Taxonomies

Code	Description	License
Code 207T00000X Primary	Description Neurological Surgery Allopathic & Osteopathic Physicians	License ME137026 Florida
Code 207T00000X	Description Neurological Surgery Allopathic & Osteopathic Physicians	License 0101263406 Virginia

Provider Identifiers

ID	Description	Issuer
ID 120594200	Description Medicaid	Issuer Unlisted Florida

Avery L Buchholz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Healthcare Associates Of Central Florida, Llc

Elbabaa, Samer K

Whiting, Jobyna

Nizam Razack, Pa

Manwaring, Kim H

Hachmann, Jan Tobias

Olavarria, Greg

Razack, Nizam

Dhaliwal, Perry P.S

Pattisapu, Jogi V.