Dr. Latia Holder Ilyadis
D.O. | Pediatrics | Female
Dr. Latia Holder Ilyadis, D.O. is a Port St Lucie, Florida based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Latia Holder Ilyadis is also known as
Latia Holder.
Current practice location of Dr. Latia Holder Ilyadis is
1850 Sw Fountainview Blvd Ste 105, Port St Lucie, Florida - 34986-4527. She can be contacted on phone at
772-336-2818 and fax number 772-336-5313.
Dr. Latia Holder Ilyadis is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Latia Holder Ilyadis is
1861658650 which was assigned by NPPES on 01 Aug, 2008 and it was last updated on 17 Apr, 2020.
Dr. Latia Holder Ilyadis license number is
OS12261 for Pediatrics (208000000X) in Florida.
Dr. Latia Holder Ilyadis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Latia Holder Ilyadis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Latia Holder Ilyadis |
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| Other Name : | Latia Holder |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Dr. Latia Holder Ilyadis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1850 Sw Fountainview Blvd Ste 105
Port St Lucie, FL, 34986-4527
United States |
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| Phone Number : | 772-336-2818 |
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| Fax Number : | 772-336-5313 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861658650 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Aug, 2008 |
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| Last Updated On : | 17 Apr, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Latia Holder Ilyadis are as mentioned. Primary taxonomy code for Dr. Latia Holder Ilyadis, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | OS12261 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Latia Holder Ilyadis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 009243400 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 900 S Pine Island Rd Ste 800
Plantation, FL, 33324-3923
United States |
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| Phone Number : | 772-336-2818 |
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| Fax Number : | 772-336-5313 |
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Business Location:
Patients can refer following map for directions to
Dr. Latia Holder Ilyadis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.