Organization
KETEVAN VLADI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETEVAN VLADI MD (MEMBER)
(917) 753-4770
Entity
Organization
Contact information
Practice address
2925 AVENTURA BLVD, SUITE 101, AVENTURA, FL 33180-3124
(305) 931-7424
Mailing address
1504 BAY RD APT 2503, MIAMI BEACH, FL 33139-3279
(917) 753-4770
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME103381
FL
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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