Anthony, Vatti Theckla

Anthony, Vatti Theckla is an individual health care provider with primary practice located at 2392 Se Ocean Blvd , Stuart FL 34996-3310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Anthony, Vatti Theckla can be contacted via phone (772) 223-5628.

Contact Information

Primary practice address
2392 Se Ocean Blvd Stuart FL 34996-3310
Phone: (772) 223-5628
Fax: (772) 223-5652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME135162 Florida

Profile Details

NPI number 1205884590
LBN Legal business name Anthony, Vatti Theckla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Sep 7th, 2018 - about 7 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 1205884590 NPPES
Florida MEDICAID 024761200
Florida Other VVN40

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