Healthcare Provider Details

I. General information

NPI: 1104113018
Provider Name (Legal Business Name): VLATKA SPLAJT PLYMALE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W QUEEN PALM DR
INLET BEACH FL
32461-7464
US

IV. Provider business mailing address

21 W QUEEN PALM DR
INLET BEACH FL
32461-7464
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0000002417
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: