Ketevan Vladi Pllc | |
2925 Aventura Blvd Suite 101 Aventura FL 33180-3124 | |
(305) 931-7424 | |
Not Available |
Full Name | Ketevan Vladi Pllc |
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Speciality | Clinic/center - Primary Care |
Location | 2925 Aventura Blvd, Aventura, Florida |
Authorized Official Name and Position | Ketevan Vladi (MEMBER) |
Authorized Official Contact | 9177534770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ketevan Vladi Pllc 1504 Bay Rd Apt 2503 Miami Beach FL 33139-3279 Ph: (917) 753-4770 | Ketevan Vladi Pllc 2925 Aventura Blvd Suite 101 Aventura FL 33180-3124 Ph: (305) 931-7424 |
NPI Number | 1982006102 |
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Provider Enumeration Date | 09/18/2014 |
Last Update Date | 09/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982006102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME103381 (Florida) | Primary |
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