Gipson, Vetra Anete

Gipson, Vetra Anete is an sole proprietor health care provider with primary practice located at 3601 Sw 160Th Ave Suite 250, Miramar FL 33027-6308. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gipson, Vetra Anete can be contacted via phone (305) 866-9951.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite 250 Miramar FL 33027-6308
Phone: (305) 866-9951
Fax: (877) 284-8933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 050518 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47858 Tennessee

Profile Details

NPI number 1528068061
LBN Legal business name Gipson, Vetra Anete
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Nov 28th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528068061 NPPES
Georgia Other 24BCBWK MEDICARE ID
Georgia MEDICAID 00963102A MEDICARE ID

Popular Providers