Individual
DR. EMANUEL J VLASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 W GORE ST STE 300, ORLANDO, FL 32806-1014
(321) 841-8555
(321) 841-2425
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
118792
MO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME154906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167050
BLUE CROSS BLUE SHIELD
MO
05
—
205955602
—
MO
01
—
272121
GROUP HEALTHPLAN
MO
01
—
2908754
CIGNA
MO
01
—
483444
HEALTHLINK
MO
01
—
5887070
AETNA
MO
01
—
7400111
UNITED HEALTHCARE
MO
Enumeration date
06/24/2006
Last updated
06/16/2022
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