Kardashian, Irene Vasily

Kardashian, Irene Vasily is an sole proprietor health care provider with primary practice located at 14100 Fivay Rd Suite 100, Hudson FL 34667-7180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kardashian, Irene Vasily can be contacted via phone (727) 819-2534.

Contact Information

Primary practice address
14100 Fivay Rd Suite 100 Hudson FL 34667-7180
Phone: (727) 819-2534
Fax: (727) 819-2687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME79368 Florida

Profile Details

NPI number 1124011804
LBN Legal business name Kardashian, Irene Vasily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Jul 26th, 2011 - about 15 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 1124011804 NPPES
Florida MEDICAID 262649700
Florida Other 1558503367

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