Organization
JOSEPH RYAN VENDITTO M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RYAN VENDITTO M.D. (PRESIDENT)
(305) 667-4511
Entity
Organization
Contact information
Practice address
6141 SUNSET DRIVE, SUITE 401, SOUTH MIAMI, FL 33143-5026
(305) 667-4511
(305) 667-0411
Mailing address
6141 SUNSET DRIVE, SUITE 401, SOUTH MIAMI, FL 33143-5026
(305) 667-4511
(305) 667-0411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 113448
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14LID
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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