Individual
BEN JOHNS VADASSERIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(786) 427-4487
Mailing address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME143447
FL
Other
Enumeration date
07/23/2017
Last updated
08/11/2020
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