# MEDICAL CENTRE OF PALMETTO BAY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Centre of Palmetto Bay, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245976752
- **Authorized official:** DR. VEACESLAV VLASDOM, DOM,PHD (MEDICAL DIRECTOR)
- **Authorized official phone:** (786) 573-4777

## Contact information

- **Practice address:** 14471 S DIXIE HWY, PALMETTO BAY, FL 33176-7924
- **Practice address phone:** (786) 573-4777
- **Practice address fax:** (786) 339-9544
- **Mailing address:** 14471 S DIXIE HWY, PALMETTO BAY, FL 33176-7924
- **Mailing address phone:** (786) 573-4777
- **Mailing address fax:** (786) 339-9544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2022
- **Last updated:** 05/08/2022