Individual
DR. ILANA VENDRYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
(954) 265-5324
Mailing address
901 45TH ST, MANGONIA PARK, FL 33407-2495
(800) 437-2636
(954) 618-4116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME129017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
03/18/2011
Last updated
03/28/2022
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