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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205884590 | NPPES |
| Florida | MEDICAID | 024761200 | |
| Florida | Other | VVN40 |
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