Medical Centre of Palmetto Bay, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MEDICAL CENTRE OF PALMETTO BAY, LLC

Doing business as

Medical Centre of Palmetto Bay, LLC

Practice address

14471 S Dixie Hwy
Palmetto Bay, FL 33176-7924

Phone

(786) 573-4777

Fax

(786) 339-9544

NPI assigned

May 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Veaceslav Vlasdom,, DOM,PHD

Title

Medical Director

Phone

(786) 573-4777

Specialties & licenses 1

Addresses

Other names 1

• Medical Centre of Palmetto Bay, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651968000000",
    "number": "1245976752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14471 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767924",
            "telephone_number": "786-573-4777",
            "fax_number": "786-339-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14471 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767924",
            "telephone_number": "786-573-4777",
            "fax_number": "786-339-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTRE OF PALMETTO BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-08",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A",
        "authorized_official_last_name": "VLASDOM,",
        "authorized_official_first_name": "VEACESLAV",
        "authorized_official_title_or_position": "MEDICAL  DIRECTOR",
        "authorized_official_telephone_number": "786-573-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM,PHD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Centre of Palmetto Bay, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney McCoy
• Samantha Eleanor McCullough, MT-BC
• Lisa Rivero McDaniel, LCSW
• Ursula G McGrady
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• Manuel Medina Suarez, ARPN
• Armani Medina, ATC
• Medlife Wellness Therapy LLC
• Medvee Transport Inc.

• Acupuncturist in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.