Individual
DR. VANESSA KETURAH PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 651-1100
Mailing address
1611 NW 12TH AVE., MIAMI, FL 33136
(305) 585-6913
(954) 236-4438
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME92438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01945
BLUE SHIELD
FL
05
—
273824400
—
FL
Enumeration date
06/28/2006
Last updated
06/02/2023
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