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Organization

ISLAND HEALTH CONCIERGE MEDICINE, INC

Active
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Organization

ISLAND HEALTH CONCIERGE MEDICINE, INC

Active
Other names
Island Health Concierge Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
LATIA H ILYADIS DO (OWNER)
(518) 763-6969
Entity
Organization

Contact information

Practice address
9301 HIGHWAY A1A STE 202, VERO BEACH, FL 32963-5602
(772) 205-6361
(772) 410-5477
Mailing address
PO BOX 643608, VERO BEACH, FL 32964-3608
(518) 763-6969
(772) 410-5477

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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