Healthcare Provider Details

I. General information

NPI: 1689106098
Provider Name (Legal Business Name): VLAD VOIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 GLADES RD SUITE 400
BOCA RATON FL
33431-6461
US

IV. Provider business mailing address

10744 SEA CLIFF CIR
BOCA RATON FL
33498-6355
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-2570
  • Fax: 561-955-2572
Mailing address:
  • Phone: 206-334-8399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME145276
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: