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Individual

VRITI ADVANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
635 1ST ST N, WINTER HAVEN, FL 33881-4129
(863) 294-0670
(863) 298-3200
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125-057088
IL
208600000X
Surgery Physician
Primary
ME123571
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201233320
IN
05
7100310370
KY
Enumeration date
07/10/2009
Last updated
06/12/2024
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