Provider Demographics
NPI:1720828262
Name:VLADES FLORIDA INC
Entity type:Organization
Organization Name:VLADES FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTANQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-749-6421
Mailing Address - Street 1:160 NW 176TH ST STE 202-1
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5023
Mailing Address - Country:US
Mailing Address - Phone:305-749-6421
Mailing Address - Fax:305-749-6374
Practice Address - Street 1:160 NW 176TH ST STE 202-1
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-5023
Practice Address - Country:US
Practice Address - Phone:305-749-6421
Practice Address - Fax:305-749-6374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy