Dani Vedros is a Clinical in Norfolk, Virginia. Dani Vedros practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dani Vedros is 1770679425. The last update date is 2015-10-23.
Dani Vedros's current location address is 1611 Colley Ave D, Norfolk, Virginia. You can contact this provider via phone number 7574725245 and fax number 7576223944. The mailing address for Dani Vedros is 1611 Colley Ave D, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dani Vedros |
|---|---|
| Address | 1611 Colley Ave D, Norfolk, Virginia |
| Phone Number | 7574725245 |
| Fax Number | 7576223944 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770679425 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2015-10-23 |
Provider Mailing Address Detail
| Address | 1611 Colley Ave D |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235171677 |
| Phone Number | 7574725245 |
| Fax Number | 7576223944 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904002884 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9999124 | VA | -- |
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What is the unique 10-digit identifier code issued to Dani Vedros by the Centers for Medicare & Medicaid Services?
The Dani Vedros has been assigned the NPI (National Provider Identifier) 1770679425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dani Vedros's facilities are situated?
The facilities of Dani Vedros are physically located at the following address: 1611 Colley Ave D, Norfolk, VA, 235171677.
What is Dani Vedros's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dani Vedros's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770679425 to Dani Vedros?
The Centers for Medicare & Medicaid Services originally issued the 1770679425 to Dani Vedros on 2006-10-04.
As of what date were the Dani Vedros's details last updated?
The information pertaining to the Dani Vedros, including its address, specialty, and other details, was most recently updated on 2015-10-23.