Individual
DR. VLADIMIR ILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13340 METRO PARKWAY, SUITE 200, FORT MYERS, FL 33966-4703
(239) 343-0550
(239) 343-0559
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0550
(239) 343-4013
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME91534
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME91534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008656700
—
FL
Enumeration date
03/10/2006
Last updated
03/25/2021
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