Individual
DR. AMEETH VEDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
Mailing address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081189
MI
207RC0000X
Cardiovascular Disease Physician
2011-00925
NC
207RC0000X
Cardiovascular Disease Physician
Primary
ME113851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008584500
—
FL
05
—
1578643474
—
NC
Enumeration date
10/16/2006
Last updated
06/19/2019
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