Individual
ALAN R WLADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 N ORANGE AVE STE 302, ORLANDO, FL 32804
(407) 303-7250
(407) 303-7255
Mailing address
2415 N ORANGE AVE STE 302, ORLANDO, FL 32804-5505
(407) 303-7250
(407) 303-7255
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME80259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259987200
—
FL
01
—
35790
BCBS
FL
01
—
P00001353
RAILROAD MEDICARE
—
Enumeration date
08/22/2006
Last updated
08/15/2018
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