Healthcare Provider Details

I. General information

NPI: 1205837101
Provider Name (Legal Business Name): INGRID VASILIU-FELTES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: INGRID VASILIU-FELTES MD

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NW 10TH AVE STE 301D
MIAMI FL
33136-1000
US

IV. Provider business mailing address

1400 NW 10TH AVE STE 301D
MIAMI FL
33136-1000
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-9950
  • Fax: 305-243-4061
Mailing address:
  • Phone: 305-243-9950
  • Fax: 305-243-4061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME100771
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME 100771
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number24785
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number24785
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: