Gratia, Vladymir

Gratia, Vladymir is an individual health care provider with primary practice located at 7481 W Oakland Park Blvd Ste 100, Lauderhill FL 33319-3331. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gratia, Vladymir can be contacted via phone (954) 771-7743.

Contact Information

Primary practice address
7481 W Oakland Park Blvd Ste 100 Lauderhill FL 33319-3331
Phone: (954) 771-7743
Fax: (954) 771-7748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11004446 Florida

Profile Details

NPI number 1760024871
LBN Legal business name Gratia, Vladymir
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2019
Last updated Aug 5th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760024871 NPPES
Florida MEDICAID 105098800

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