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Individual

VLADIMIR ISHMETOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SA

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5601
(305) 243-3107
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5601
(305) 243-3107

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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