Ilic, Vladimir
Ilic, Vladimir is an individual health care provider with primary practice located at 13340 Metro Parkway Suite 200, Fort Myers FL 33966-4703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ilic, Vladimir can be contacted via phone (239) 343-0550.Contact Information
Primary practice address
13340 Metro Parkway Suite 200
Fort Myers FL 33966-4703
Phone: (239) 343-0550
Fax: (239) 343-0559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME91534 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME91534 | Florida |
Profile Details
| NPI number | 1417925967 |
|---|---|
| LBN Legal business name | Ilic, Vladimir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Mar 25th, 2021 - about 3 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 | 1417925967 | NPPES |
| Florida | MEDICAID | 008656700 |
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