Gllava, Idljona

Gllava, Idljona is an individual health care provider with primary practice located at 4211 Van Dyke Rd Ste 200 , Lutz FL 33558-8005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Gllava, Idljona can be contacted via phone (813) 321-6237.

Contact Information

Primary practice address
4211 Van Dyke Rd Ste 200 Lutz FL 33558-8005
Fax: (813) 463-1801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME130716 Florida

Profile Details

NPI number 1225442569
LBN Legal business name Gllava, Idljona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2014
Last updated Feb 2nd, 2024 - about 7 months 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 1225442569 NPPES
Florida Other IZ200Z MEDICARE
Florida MEDICAID 020921500 MEDICARE

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