Madfis, Vadim Lev
Madfis, Vadim Lev is an sole proprietor health care provider with primary practice located at 6320 Saint Augustine Rd Unit 12, Jacksonville FL 32217-2813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Madfis, Vadim Lev can be contacted via phone (904) 737-6200.Contact Information
Primary practice address
6320 Saint Augustine Rd Unit 12
Jacksonville FL 32217-2813
Phone: (904) 737-6200
Fax: (904) 737-6001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME82655 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME82655 | Florida |
Profile Details
| NPI number | 1245229277 |
|---|---|
| LBN Legal business name | Madfis, Vadim Lev |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Apr 17th, 2009 - about 15 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 | 1245229277 | NPPES |
| Florida | Other | 110236096 | RAILROAD MEDICARE |
| Florida | Other | 06964 | RAILROAD MEDICARE |
| Florida | MEDICAID | 264616100 | RAILROAD MEDICARE |
| Florida | Other | 105540 | RAILROAD MEDICARE |
| Florida | Other | 5866568 | RAILROAD MEDICARE |
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