KETEVAN VLADI PLLC (NPI# 1982006102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982006102 |
| Entity Type | Organization |
| Organization Name | KETEVAN VLADI PLLC |
| Practice Address |
2925 Aventura Blvd Suite 101 Aventura FL 33180-3124 |
| Mailing Address |
1504 Bay Rd Apt 2503 Miami Beach FL 33139-3279 |
| Practice Telephone | 3059317424 |
| Mailing Telephone | 9177534770 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | KETEVAN VLADI (MEMBER) |
| Authorized Official Telephone | 9177534770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME103381 | FL | Ambulatory Health Care Facilities |
| Street Address |
2925 AVENTURA BLVD SUITE 101 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417665 | Mark Steven Nestor | Dermatology | 2925 Aventura Blvd, Ste 205, Aventura, FL 33180-3108 | 2005-06-20 |
| 1538657523 | Daniel Fischer | General Practice | 2925 Aventura Blvd, Aventura, FL 33180-3124 | 2018-04-25 |
| 1063866614 | Genesis Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2016-04-20 |
| 1831443621 | Ob/gyn Advanced Care Corp | Obstetrics & Gynecology | 2925 Aventura Blvd, Suite 302, Aventura, FL 33180-3124 | 2012-11-01 |
| 1114275427 | Atlantic South Medical Group Incorporated | Clinic/Center | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2012-08-16 |
| 1396075057 | Remberto Santos | Obstetrics & Gynecology | 2925 Aventura Blvd, Suite 302, Aventura, FL 33180-3124 | 2009-12-31 |
| 1467695544 | Silvia Stambler | Dentist | 2925 Aventura Blvd, Suite 309 Silvia Stambler Dds, Aventura, FL 33180 | 2009-04-20 |
| 1750521571 | Ketevan Vladi | Internal Medicine | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2009-03-06 |
| 1669611711 | Volrick Darrell Morrison | Internal Medicine | 2925 Aventura Blvd, Suite 101, Aventura, FL 33180-3124 | 2009-02-12 |
| 1477728228 | Fredda Rosenbaum | Dentist | 2925 Aventura Blvd, Suite # 201, Aventura, FL 33180-3124 | 2008-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729615 | Kloutis Urgent Care LLC. | Clinic/Center | 18117 Biscayne Blvd, Aventura, FL 33160-2535 | 2020-01-21 |
| 1598160996 | Wendy S. Boyar,m.d. | Clinic/Center | 3700 Island Blvd, C206, Aventura, FL 33160-4952 | 2014-10-28 |
| 1801349121 | Anuvia Medical Center | Clinic/Center | 20880 W Dixie Hwy, Aventura, FL 33180-1151 | 2016-08-03 |
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| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
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| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.